| A Case of Recurrent Shunt Malfunction Treated with Ventriculoureteral Shunt after Removal of Epidermoid Tumor |
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Dong Sung Kim, M.D., Soo Bin Im, M.D., Won Han Shin, M.D., Sun Chul Hwang, M.D., Bum Tae Kim, M.D., Kwang Woo Lee, M.D., Min Eui Kim, M.D., Chul Wan Im, M.D. |
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Department of Neurosurgery, Urology1 and General Surgery2, Soonchunhyang University Hospital, Bucheon, Korea |
| 표피양낭종 제거 후 발생한 반복적인 단락기능부전에 대한 뇌실요관단락술 -증례 보고- |
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김동성ㆍ임수빈ㆍ신원한ㆍ황선철ㆍ김범태ㆍ이광우ㆍ김민의ㆍ임철완 |
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순천향대학교 의과대학 부천병원 신경외과학교실, 비뇨기과학교실, 일반외과학교실 |
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| Abstract |
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Surgical relief of the hydrocephalus with shunt is one of the most frequent neurosurgical procedures and achieved mainly with the ventriculoperitoneal shunt. A small subset of the patients with shunt suffers from various complications and shunt malfunction requiring revision surgeries. We describe our experience on a patient with hydrocephalus and syringomyelia after removal of epidermoid cyst at the cerebellopontine angle, who underwent more than 17 repeated shunt revision because of shunt malfunction. The shunt malfunction was corrected by ventriculoureteral shunting finally, which was accomplished with sparing of the patient's both kidneys. The ventriculoureteral shunt appears to be the final resolution for the patients who require multiple shunt revisions and cannot use peritoneal or pleural cavity as a drainage site.
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| Keywords:
Ventriculoureteral shuntㆍEpidermoid tumorㆍShunt malfunctionㆍHydrocephalusㆍSyringomyelia |
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