{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T22:27:14Z","timestamp":1783117634725,"version":"3.54.6"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nThe intracranial migration of a ventriculoperitoneal shunt (VPS) has been previously described, it is a very rare event, and the mechanisms of this migration have not yet been elucidated.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nNewborn at 38 weeks of gestation by cesarean section, with congenital hydrocephalus due to Dandy\u2013Walker malformation that required right Frazier VPS placement. At 2-month follow-up, computed tomography of the skull showed cranial migration of VPS and dysfunction. At evaluation, there were signs of systemic infection. External ventricular drainage was placed and an intravenous antibiotic scheme for Gram-positive bacteria was started. After 3 months, cerebrospinal fluid cultures were negative and definitive VPS was decided.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nDifferent possible mechanisms have been proposed, such as negative intraventricular pressure, positive intra-abdominal pressure, use of valveless catheters, excessive burr hole size, as well as such as occipital ventricular access, thin cortical mantle, incorrect distal and proximal fixation, short distance between the peritoneum and ventricles, and a possible inflammatory reaction to the catheter material (silicone). A combination of these different mechanisms contributes to proximal shunt migration. Although the placement of a VPS is a procedure well taught since the 1st<\/jats:sup> years of neurosurgical residency, it is not exempt from complications. Although, as was previously stated in this paper, the incidence of a complete cranial VPS migration is extremely rare, and only a few cases are documented, it is still important to report this type of cases and to try to elucidate the possible mechanisms involved.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_1098_2022","type":"journal-article","created":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T06:35:57Z","timestamp":1679639757000},"page":"103","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Intracranial migration of a ventriculoperitoneal shunt: A case report and literature review"],"prefix":"10.25259","volume":"14","author":[{"given":"Alejandro Ceja","family":"Espinosa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Grupo Neurol\u00f3gico de Alta Especialidad, Hospital Angeles Morelia, Morelia Michoacan, Mexico"},{"name":"Department of Neurosurgery, Instituto Nacional de Neurolog\u00eda y Neurocirug\u00eda \u201cManuel Velasco Su\u00e1rez\u201d, Ministry of Health, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Pablo","family":"Navarro-Garcia de Llano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Instituto Nacional de Neurolog\u00eda y Neurocirug\u00eda \u201cManuel Velasco Su\u00e1rez\u201d, Ministry of Health, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Carlos","family":"Balc\u00e1zar-Padr\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Instituto Nacional de Neurolog\u00eda y Neurocirug\u00eda \u201cManuel Velasco Su\u00e1rez\u201d, Ministry of Health, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abrahan Alfonso","family":"Tafur-Grandett","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Centro M\u00e9dico Lic. Adolfo L\u00f3pez Mateos, Health Institute of the State of Mexico, Toluca, State of Mexico, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2023,3,24]]},"reference":[{"key":"10.25259\/SNI_1098_2022\/ref-1","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1007\/s100720200029","article-title":"Complete migration of ventriculoperitoneal shunt into the ventricle","volume":"23","author":"Acharya","year":"2002","journal-title":"Neurol Sci"},{"key":"10.25259\/SNI_1098_2022\/ref-2","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/BF00383884","article-title":"Intraventricular migration of VP shunt","volume":"18","author":"Ammar","year":"1995","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_1098_2022\/ref-3","doi-asserted-by":"crossref","first-page":"107772","DOI":"10.1016\/j.ijscr.2022.107772","article-title":"Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report","volume":"101","author":"Deo","year":"2022","journal-title":"Int J Surg Case Rep"},{"key":"10.25259\/SNI_1098_2022\/ref-4","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/BF01410629","article-title":"Total intraventricular migration of unisystem ventriculo-peritoneal shunt","volume":"136","author":"Eljamel","year":"1995","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_1098_2022\/ref-5","first-page":"399","article-title":"Migration of ventriculo-peritoneal shunt into lateral ventricle of an adult","volume":"11","author":"Garijo","year":"1979","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_1098_2022\/ref-6","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1080\/02688699944230","article-title":"Total migration of a ventriculoperitoneal shunt into the ventricles","volume":"13","author":"Gupta","year":"1999","journal-title":"Br J Neurosurg"},{"key":"10.25259\/SNI_1098_2022\/ref-7","first-page":"157","article-title":"Cranial intraventricular migration of Raimondi uni-shunt system","volume":"29","author":"Lucantoni","year":"1985","journal-title":"J Neurosurg Sci"},{"key":"10.25259\/SNI_1098_2022\/ref-8","first-page":"57","article-title":"\u201cMissing tube\u201d of peritoneal shunt: Migration of the whole system into ventricle","volume":"4","author":"Mori","year":"1975","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_1098_2022\/ref-9","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.jocn.2005.12.027","article-title":"Cranial migration of complete ventriculo-peritoneal shunt assembly","volume":"14","author":"Nadkarni","year":"2007","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_1098_2022\/ref-10","doi-asserted-by":"crossref","first-page":"165","DOI":"10.3171\/jns.1955.12.2.0165","article-title":"Observations on ventricular and lumbar subarachnoid peritoneal shunts in hydrocephalus in infants","volume":"12","author":"Scott","year":"1955","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_1098_2022\/ref-11","first-page":"196","article-title":"Migration of an entire one-piece shunt into the ventricle","volume":"22","author":"Villarejo","year":"1979","journal-title":"Neurochirurgia (Stuttg)"},{"key":"10.25259\/SNI_1098_2022\/ref-12","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1227\/00006123-198304000-00019","article-title":"Complete migration of ventriculoperitoneal shunt into the ventricle: Report of two cases","volume":"12","author":"Young","year":"1983","journal-title":"Neurosurgery"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/intracranial-migration-of-a-ventriculoperitoneal-shunt-a-case-report-and-literature-review\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/intracranial-migration-of-a-ventriculoperitoneal-shunt-a-case-report-and-literature-review\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T06:36:05Z","timestamp":1679639765000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/intracranial-migration-of-a-ventriculoperitoneal-shunt-a-case-report-and-literature-review\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,24]]},"references-count":12,"alternative-id":["10.25259\/SNI_1098_2022"],"URL":"https:\/\/doi.org\/10.25259\/sni_1098_2022","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,3,24]]},"article-number":"103"}}