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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 935-937
DOI: 10.4103/ajns.AJNS_91_19
Case Report

Patent persistent fibrous tract in a patient with disconnected lumboperitoneal shunt

Rajan Sharma
1   Department of Neurosurgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal
2   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan
,
Kiyoshi Takagi
3   Department of Neurosurgery, Chiba Kashiwa Tanaka Hospital, Kashiwa
,
Yasuhiro Yamada
2   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan
,
Tsukasa Kawase
2   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan
,
Yoko Kato
2   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Japan
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Disconnection of proximal or distal catheter is seen more frequently in the complication of the lumboperitoneal (LP) shunt. A connective tissue sheath that forms around the peritoneal catheter of silicone shunt tubing is a normal biological response to foreign material. The literature did not establish whether the disconnected LP shunt can allow passage of cerebrospinal fluid (CSF) through the disconnected portion. However, proof of the passage of CSF through these sheaths has been reported in only one published study to date. We present a case of a young patient with disconnected LP shunt who reported patent persistent fibrous tract around the tube shunt. In conclusion, asymptomatic patients with shunt disconnection should be evaluated with shuntography for patency of fibrous sheath before removal of the shunt to avoid the possible complications.

Key-words:

Malfunction - patent persistent fibrous tract - rare

Financial support and sponsorship

Nil.




Publikationsverlauf

Artikel online veröffentlicht:
09. September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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