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Journal of Korean Neurosurgical Society 1998;27(1): 104-108.
Spontaneous Fracture of a Lumboperitoneal Shunt Catheter: A Case Report.
Sung Joo Lee, Ki Bum Sim, Ha Young Kim, Seung Kuan Hong
Department of Neurosurgery, Seoul Red Cross Hospital, Seoul, Korea.
ABSTRACT
Spontaneous fracture of the Silastic shunt catheter is a rare complication of lumboperitoneal shunt. A review of the literature revealed only one case in which spontaneous fracture occurred after this procedure. The authors report a case in which fracture of a lumboperitoneal shunt catheter occurred within the interspinous ligament probably due to repeated tension caused by flexion and extension during lumbar motion. The fractured proximal catheter was located entirely within the intrathecal space exclusively from the level of L1 to S1, and caused incomplete cauda equina syndrome.
Key Words: Spontaneous fracture; Lumboperitoneal shunt catheter; Tension; Lumbar motion
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