{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T00:38:08Z","timestamp":1702082288071},"reference-count":6,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nLumboperitoneal (LP) shunt placement is a good option for treating elderly patients with communicating normal pressure hydrocephalus (NPH) who are also on antiplatelet therapy following endovascular treatment of unruptured bilateral internal carotid artery aneurysms. Here, in an 80-year-old male with an LP shunt, the catheter was \u201cpinched\u201d between adjacent spinous processes, resulting in laceration of the catheter and intrathecal catheter migration.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nAn 80-year-old male was treated with a LP shunt for NPH 1 year after undergoing endovascular treatment of unruptured bilateral internal carotid artery aneurysms. The lumbar catheter was placed at the L2\u20133 level. Six months later, when he clinically deteriorated, the follow-up computed tomography showed recurrent ventricular enlargement. Further, studies additionally confirmed intrathecal migration of the lumbar catheter, warranting secondary ventriculoperitoneal shunt placement.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nPatients with LP shunts may develop lumbar catheter lacerations secondary to a \u201cpinching\u201d effect from adjacent spinous processes, resulting in intrathecal catheter migration.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_742_2023","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T09:51:14Z","timestamp":1702029074000},"page":"417","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Late intrathecal retraction of a lumboperitoneal shunt"],"prefix":"10.25259","volume":"14","author":[{"given":"Young Ju","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Fujita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Maeyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuo","family":"Hori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Sasayama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,12,8]]},"reference":[{"key":"10.25259\/SNI_742_2023\/ref-1","doi-asserted-by":"crossref","first-page":"124","DOI":"10.25259\/SNI-266-2019","article-title":"Cranial migration of lumboperitoneal shunt: A case report and review of literature","volume":"10","author":"AlBakry","year":"2019","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_742_2023\/ref-2","doi-asserted-by":"crossref","first-page":"916","DOI":"10.3171\/2017.5.JNS17642","article-title":"Hemorrhage associated with ventriculoperitoneal shunt placement in aneurysmal subarachnoid hemorrhage patients on a regimen of dual antiplatelet therapy: A retrospective analysis","volume":"129","author":"Hudson","year":"2018","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_742_2023\/ref-3","doi-asserted-by":"crossref","first-page":"O44","DOI":"10.1186\/2045-8118-12-S1-O44","article-title":"Diagnostic assessment of adult hydrocephalus log compared to standard normal pressure hydrocephalus diagnostic tools","volume":"12","author":"Jusue-Torres","year":"2015","journal-title":"Fluids Barriers CNS"},{"key":"10.25259\/SNI_742_2023\/ref-4","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/S1474-4422(15)00046-0","article-title":"Lumboperitoneal shunt surgery for idiopathic normal pressure hydrocephalus (SINPHONI-2): An open-label randomised trial","volume":"14","author":"Kazui","year":"2015","journal-title":"Lancet Neurol"},{"key":"10.25259\/SNI_742_2023\/ref-5","first-page":"e12","article-title":"Broken lumboperitoneal shunt with intra-thecal migration of the lumbar catheter in a patient with idiopathic normal pressure hydrocephalus: Case report","volume":"31","author":"Kikuchi","year":"2021","journal-title":"Curr Pract Neurosurg"},{"key":"10.25259\/SNI_742_2023\/ref-6","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1093\/ons\/opy176","article-title":"Fluoroscopic-guided paramedian approach for lumbar catheter placement in cerebrospinal fluid shunting: Assessment of safety and accuracy","volume":"16","author":"Tucker","year":"2019","journal-title":"Oper Neurosurg (Hagerstown)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/late-intrathecal-retraction-of-a-lumboperitoneal-shunt\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/late-intrathecal-retraction-of-a-lumboperitoneal-shunt\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T09:51:19Z","timestamp":1702029079000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/late-intrathecal-retraction-of-a-lumboperitoneal-shunt\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,8]]},"references-count":6,"alternative-id":["10.25259\/SNI_742_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_742_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12,8]]},"article-number":"417"}}