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Fluoroscopy Neuro-Guided Endoscopic Removal of a Lost Ventricular Catheter in Hydrocephalic Girl with Staphylococcal Shunt Infection

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Author(s): Leszek Herbowski | Regina Szydłowska | Józef Rudnicki | Aleksandra Harat | Leszek Sagan

Journal: Open Journal of Modern Neurosurgery
ISSN 2163-0569

Volume: 02;
Issue: 03;
Start page: 50;
Date: 2012;
Original page

Keywords: Hydrocephalus | Ventricular Catheter | Catheter Migration | Shunt Infection | Fluoroscopy-Assisted Endoscopy | Shunt Removal

ABSTRACT
In the text, the authors present a successful treatment of an 8-year-old hydrocephalic girl with retained infected ventricular catheter. Altogether, there have been 56 recorded cases of intraventricular catheter migration, including only 5 of infected shunt. In the case described, the first attempt to remove the lost catheter endoscopically was unsuccessful which was the reason for an inflammation’s spread. Only by means of fluoroscopy-assisted endoscopy was it possible to remove the free-floating infected shunt drain from the lateral ventricle during another surgery. In order to prevent immediate or delayed infection complications, the authors postulate a complete removal of a retained ventricular catheter from every patient.
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