{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T10:21:33Z","timestamp":1785493293791,"version":"3.56.0"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2021,1,11]],"date-time":"2021-01-11T00:00:00Z","timestamp":1610323200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,11]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Endoscopic third ventriculostomy (ETV) is a successful procedure for treating noncommunicating hydrocephalus as an alternative to initial ventriculoperitoneal (VP) shunt placement and as a salvage procedure when a VP shunt fails. Physiological changes of pregnancy can lead to VP shunt failure and complicate the management of shunt malfunction, particularly in the third trimester.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors present a case in which an ETV was successfully used in the third trimester (31 weeks of gestation) of pregnancy for acute hydrocephalus due to VP shunt malfunction, and the patient went on to deliver a healthy baby at term; the patient remained well in the long-term follow-up. An English-language PubMed literature review revealed four cases of VP shunt failure successfully treated with an ETV in the first or second trimester but no such reports in the third trimester of pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>ETV appears to be a safe and effective alternative to VP shunt replacement in the late prenatal period of pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case2054","type":"journal-article","created":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T15:32:32Z","timestamp":1611934352000},"source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic third ventriculostomy for VP shunt malfunction during the third trimester of pregnancy: illustrative case"],"prefix":"10.3171","volume":"1","author":[{"given":"Ahmad K.","family":"Alhaj","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Ibn Sina Hospital, Ministry of Health, Kuwait City, Kuwait;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tariq","family":"Al-Saadi","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, Montreal Neurological Institute-Hospital, McGill University, Montreal, Quebec, Canada; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-No\u00eblle","family":"H\u00e9bert-Blouin","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, Montreal Neurological Institute-Hospital, McGill University, Montreal, Quebec, Canada; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Petrecca","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, Montreal Neurological Institute-Hospital, McGill University, Montreal, Quebec, Canada; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy W. R.","family":"Dudley","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Pediatric Surgery, McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"10020","key":"b1","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"788","DOI":"10.1016\/S0140-6736(15)60694-8","article-title":"Hydrocephalus in children","volume":"387","author":"Kahle KT","year":"2016","unstructured":"Kahle KT, Kulkarni AV, Limbrick DD Jr, . Hydrocephalus in children. Lancet. 2016;387(10020):788\u2013799.10.1016\/S0140-6736(15)60694-89848845"},{"issue":"1","key":"b2","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1227\/00006123-199001000-00012","article-title":"Endoscopic third ventriculostomy","volume":"26","author":"Jones RF","year":"1990","unstructured":"Jones RF, Stening WA, Brydon M. Endoscopic third ventriculostomy. Neurosurgery. 1990;26(1):86\u201392.10.1227\/00006123-199001000-0001218728596"},{"issue":"3 Pt 2","key":"b3","series-title":"Obstet Gynecol","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1097\/01.AOG.0000214676.16825.85","article-title":"Endoscopic third ventriculostomy for the treatment of obstructive hydrocephalus during pregnancy","volume":"108","author":"Riffaud L","year":"2006","unstructured":"Riffaud L, Ferre JC, Carsin-Nicol B, . Endoscopic third ventriculostomy for the treatment of obstructive hydrocephalus during pregnancy. Obstet Gynecol. 2006;108(3 Pt 2):801\u2013804.10.1097\/01.AOG.0000214676.16825.856877707"},{"issue":"4","key":"b4","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"310","DOI":"10.3171\/2010.8.PEDS103","article-title":"Predicting who will benefit from endoscopic third ventriculostomy compared with shunt insertion in childhood hydrocephalus using the ETV Success Score","volume":"6","author":"Kulkarni AV","year":"2010","unstructured":"Kulkarni AV, Drake JM, Kestle JR, . Predicting who will benefit from endoscopic third ventriculostomy compared with shunt insertion in childhood hydrocephalus using the ETV Success Score. J Neurosurg Pediatr. 2010;6(4):310\u2013315.10.3171\/2010.8.PEDS1036843936"},{"issue":"2 Suppl","key":"b5","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"S22.e21","DOI":"10.1016\/j.wneu.2012.02.005","article-title":"Third ventriculostomy in shunt malfunction","volume":"79","author":"Spennato P","year":"2013","unstructured":"Spennato P, Ruggiero C, Aliberti F, . Third ventriculostomy in shunt malfunction. World Neurosurg. 2013;79(2 Suppl):S22.e21-S22.e26.10.1016\/j.wneu.2012.02.00516485564"},{"issue":"6","key":"b6","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1007\/s00381-008-0779-1","article-title":"Endoscopic third ventriculostomy for malfunction in previously shunted infants","volume":"25","author":"Bilginer B","year":"2009","unstructured":"Bilginer B, Oguz KK, Akalan N. Endoscopic third ventriculostomy for malfunction in previously shunted infants. Childs Nerv Syst. 2009;25(6):683\u2013688.10.1007\/s00381-008-0779-19848845"},{"issue":"5","key":"b7","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.3171\/jns.2003.98.5.1032","article-title":"Endoscopic third ventriculostomy for shunt dysfunction in occlusive hydrocephalus: long-term follow up and review","volume":"98","author":"Boschert J","year":"2003","unstructured":"Boschert J, Hellwig D, Krauss JK. Endoscopic third ventriculostomy for shunt dysfunction in occlusive hydrocephalus: long-term follow up and review. J Neurosurg. 2003;98(5):1032\u20131039.10.3171\/jns.2003.98.5.103218728596"},{"issue":"3","key":"b8","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1016\/S0090-3019(03)00317-3","article-title":"Neuroendoscopic third ventriculostomy for failed shunts","volume":"60","author":"Buxton N","year":"2003","unstructured":"Buxton N, Macarthur D, Robertson I, . Neuroendoscopic third ventriculostomy for failed shunts. Surg Neurol. 2003;60(3):201\u2013204.10.1016\/S0090-3019(03)00317-36877707"},{"issue":"6","key":"b9","series-title":"Neurosurgery","first-page":"1323","article-title":"The role of endoscopic third ventriculostomy in the management of shunt malfunction","volume":"43","author":"Cinalli G","year":"1998","unstructured":"Cinalli G, Salazar C, Mallucci C, . The role of endoscopic third ventriculostomy in the management of shunt malfunction. Neurosurgery. 1998;43(6):1323\u20131327.6843936"},{"issue":"1)(suppl 1","key":"b10","series-title":"Neurosurgery","first-page":"ONS168","article-title":"Complications of endoscopic third ventriculostomy in previously shunted patients","volume":"63","author":"Hader WJ","year":"2008","unstructured":"Hader WJ, Walker RL, Myles ST, . Complications of endoscopic third ventriculostomy in previously shunted patients. Neurosurgery. 2008;63(1)(suppl 1):ONS168\u2013ONS174.16485564"},{"issue":"6","key":"b11","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1227\/00006123-199112000-00004","article-title":"Pregnancy in patients with cerebrospinal fluid shunts: report of a series and review of the literature","volume":"29","author":"Wisoff JH","year":"1991","unstructured":"Wisoff JH, Kratzert KJ, Handwerker SM, . Pregnancy in patients with cerebrospinal fluid shunts: report of a series and review of the literature. Neurosurgery. 1991;29(6):827\u2013831.10.1227\/00006123-199112000-00004"},{"issue":"6","key":"b12","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1227\/00006123-199012000-00017","article-title":"Ventriculoperitoneal shunt malfunction during pregnancy","volume":"27","author":"Cusimano MD","year":"1990","unstructured":"Cusimano MD, Meffe FM, Gentili F, . Ventriculoperitoneal shunt malfunction during pregnancy. Neurosurgery. 1990;27(6):969\u2013971.10.1227\/00006123-199012000-00017"},{"issue":"3)(suppl","key":"b13","series-title":"Obstet Gynecol","first-page":"29s","article-title":"Maternal hydrocephalus and pregnancy","volume":"62","author":"Gast MJ","year":"1983","unstructured":"Gast MJ, Grubb RL Jr, Strickler RC. Maternal hydrocephalus and pregnancy. Obstet Gynecol. 1983;62(3)(suppl):29s\u201331s."},{"issue":"3","key":"b14","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"459","DOI":"10.3171\/jns.1985.63.3.0459","article-title":"Ventriculoperitoneal shunt malfunction during pregnancy. Case report","volume":"63","author":"Hanakita J","year":"1985","unstructured":"Hanakita J, Suzuki T, Yamamoto Y, . Ventriculoperitoneal shunt malfunction during pregnancy. Case report. J Neurosurg. 1985;63(3):459\u2013460.10.3171\/jns.1985.63.3.0459"},{"issue":"6","key":"b15","series-title":"Obstet Gynecol","first-page":"753","article-title":"Malfunction of ventriculoperitoneal shunts during pregnancy","volume":"61","author":"Kleinman G","year":"1983","unstructured":"Kleinman G, Sutherling W, Martinez M, . Malfunction of ventriculoperitoneal shunts during pregnancy. Obstet Gynecol. 1983;61(6):753\u2013754."},{"issue":"1","key":"b16","series-title":"J Obstet Gynaecol","doi-asserted-by":"publisher","first-page":"6","DOI":"10.3109\/01443615.2011.622058","article-title":"Management of pregnancy and delivery of a patient with malfunctioning ventriculoperitoneal shunt","volume":"32","author":"Schiza S","year":"2012","unstructured":"Schiza S, Stamatakis E, Panagopoulou A, . Management of pregnancy and delivery of a patient with malfunctioning ventriculoperitoneal shunt. J Obstet Gynaecol. 2012;32(1):6\u20139.10.3109\/01443615.2011.622058"},{"issue":"3","key":"b17","series-title":"Int J Gynaecol Obstet","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/j.ijgo.2007.05.029","article-title":"Endoscopic third ventriculostomy during pregnancy","volume":"99","author":"Yoshida S","year":"2007","unstructured":"Yoshida S, Minekawa R, Shimoya K, . Endoscopic third ventriculostomy during pregnancy. Int J Gynaecol Obstet. 2007;99(3):249\u2013250.10.1016\/j.ijgo.2007.05.029"},{"issue":"8","key":"b18","series-title":"PLoS One","doi-asserted-by":"publisher","first-page":"e104782","DOI":"10.1371\/journal.pone.0104782","article-title":"Intra-abdominal pressure measurements in term pregnancy and postpartum: an observational study","volume":"9","author":"Staelens AS","year":"2014","unstructured":"Staelens AS, Van Cauwelaert S, Tomsin K, . Intra-abdominal pressure measurements in term pregnancy and postpartum: an observational study. PLoS One. 2014;9(8):e104782.10.1371\/journal.pone.0104782"},{"issue":"2","key":"b19","series-title":"No Shinkei Geka","first-page":"181","article-title":"[Ventriculoperitoneal shunt malfunction due to pregnancy]","volume":"34","author":"Sasagawa Y","year":"2006","unstructured":"Sasagawa Y, Sasaki T, Fuji T, . [Ventriculoperitoneal shunt malfunction due to pregnancy]. No Shinkei Geka. 2006;34(2):181\u2013187."},{"issue":"3","key":"b20","series-title":"Arch Gynecol Obstet","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1007\/s00404-010-1379-3","article-title":"Management of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrial shunt: a case report","volume":"282","author":"Murakami M","year":"2010","unstructured":"Murakami M, Morine M, Iwasa T, . Management of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrial shunt: a case report. Arch Gynecol Obstet. 2010;282(3):339\u2013342.10.1007\/s00404-010-1379-3"},{"issue":"7","key":"b21","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1007\/s003810000298","article-title":"Increasing chronic subdural hematoma after endoscopic III ventriculostomy","volume":"16","author":"Beni-Adani L","year":"2000","unstructured":"Beni-Adani L, Siomin V, Segev Y, . Increasing chronic subdural hematoma after endoscopic III ventriculostomy. Childs Nerv Syst. 2000;16(7):402\u2013405.10.1007\/s003810000298"},{"issue":"10020","key":"b1","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"788","DOI":"10.1016\/S0140-6736(15)60694-8","article-title":"Hydrocephalus in children","volume":"387","author":"Kahle KT","year":"2016","unstructured":"Kahle KT, Kulkarni AV, Limbrick DD Jr, . Hydrocephalus in children. Lancet. 2016;387(10020):788\u2013799.10.1016\/S0140-6736(15)60694-8"},{"issue":"1","key":"b2","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1227\/00006123-199001000-00012","article-title":"Endoscopic third ventriculostomy","volume":"26","author":"Jones RF","year":"1990","unstructured":"Jones RF, Stening WA, Brydon M. Endoscopic third ventriculostomy. Neurosurgery. 1990;26(1):86\u201392.10.1227\/00006123-199001000-00012"},{"issue":"3 Pt 2","key":"b3","series-title":"Obstet Gynecol","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1097\/01.AOG.0000214676.16825.85","article-title":"Endoscopic third ventriculostomy for the treatment of obstructive hydrocephalus during pregnancy","volume":"108","author":"Riffaud L","year":"2006","unstructured":"Riffaud L, Ferre JC, Carsin-Nicol B, . Endoscopic third ventriculostomy for the treatment of obstructive hydrocephalus during pregnancy. Obstet Gynecol. 2006;108(3 Pt 2):801\u2013804.10.1097\/01.AOG.0000214676.16825.85"},{"issue":"4","key":"b4","series-title":"J Neurosurg Pediatr","doi-asserted-by":"publisher","first-page":"310","DOI":"10.3171\/2010.8.PEDS103","article-title":"Predicting who will benefit from endoscopic third ventriculostomy compared with shunt insertion in childhood hydrocephalus using the ETV Success Score","volume":"6","author":"Kulkarni AV","year":"2010","unstructured":"Kulkarni AV, Drake JM, Kestle JR, . Predicting who will benefit from endoscopic third ventriculostomy compared with shunt insertion in childhood hydrocephalus using the ETV Success Score. J Neurosurg Pediatr. 2010;6(4):310\u2013315.10.3171\/2010.8.PEDS103"},{"issue":"2 Suppl","key":"b5","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"S22.e21","DOI":"10.1016\/j.wneu.2012.02.005","article-title":"Third ventriculostomy in shunt malfunction","volume":"79","author":"Spennato P","year":"2013","unstructured":"Spennato P, Ruggiero C, Aliberti F, . Third ventriculostomy in shunt malfunction. World Neurosurg. 2013;79(2 Suppl):S22.e21-S22.e26.10.1016\/j.wneu.2012.02.005"},{"issue":"6","key":"b6","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1007\/s00381-008-0779-1","article-title":"Endoscopic third ventriculostomy for malfunction in previously shunted infants","volume":"25","author":"Bilginer B","year":"2009","unstructured":"Bilginer B, Oguz KK, Akalan N. Endoscopic third ventriculostomy for malfunction in previously shunted infants. Childs Nerv Syst. 2009;25(6):683\u2013688.10.1007\/s00381-008-0779-1"},{"issue":"5","key":"b7","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.3171\/jns.2003.98.5.1032","article-title":"Endoscopic third ventriculostomy for shunt dysfunction in occlusive hydrocephalus: long-term follow up and review","volume":"98","author":"Boschert J","year":"2003","unstructured":"Boschert J, Hellwig D, Krauss JK. Endoscopic third ventriculostomy for shunt dysfunction in occlusive hydrocephalus: long-term follow up and review. J Neurosurg. 2003;98(5):1032\u20131039.10.3171\/jns.2003.98.5.1032"},{"issue":"3","key":"b8","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1016\/S0090-3019(03)00317-3","article-title":"Neuroendoscopic third ventriculostomy for failed shunts","volume":"60","author":"Buxton N","year":"2003","unstructured":"Buxton N, Macarthur D, Robertson I, . Neuroendoscopic third ventriculostomy for failed shunts. Surg Neurol. 2003;60(3):201\u2013204.10.1016\/S0090-3019(03)00317-3"},{"issue":"6","key":"b9","series-title":"Neurosurgery","first-page":"1323","article-title":"The role of endoscopic third ventriculostomy in the management of shunt malfunction","volume":"43","author":"Cinalli G","year":"1998","unstructured":"Cinalli G, Salazar C, Mallucci C, . The role of endoscopic third ventriculostomy in the management of shunt malfunction. Neurosurgery. 1998;43(6):1323\u20131327."},{"issue":"1)(suppl 1","key":"b10","series-title":"Neurosurgery","first-page":"ONS168","article-title":"Complications of endoscopic third ventriculostomy in previously shunted patients","volume":"63","author":"Hader WJ","year":"2008","unstructured":"Hader WJ, Walker RL, Myles ST, . Complications of endoscopic third ventriculostomy in previously shunted patients. Neurosurgery. 2008;63(1)(suppl 1):ONS168\u2013ONS174."},{"issue":"6","key":"b11","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1227\/00006123-199112000-00004","article-title":"Pregnancy in patients with cerebrospinal fluid shunts: report of a series and review of the literature","volume":"29","author":"Wisoff JH","year":"1991","unstructured":"Wisoff JH, Kratzert KJ, Handwerker SM, . Pregnancy in patients with cerebrospinal fluid shunts: report of a series and review of the literature. Neurosurgery. 1991;29(6):827\u2013831.10.1227\/00006123-199112000-00004"},{"issue":"6","key":"b12","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1227\/00006123-199012000-00017","article-title":"Ventriculoperitoneal shunt malfunction during pregnancy","volume":"27","author":"Cusimano MD","year":"1990","unstructured":"Cusimano MD, Meffe FM, Gentili F, . Ventriculoperitoneal shunt malfunction during pregnancy. Neurosurgery. 1990;27(6):969\u2013971.10.1227\/00006123-199012000-00017"},{"issue":"3)(suppl","key":"b13","series-title":"Obstet Gynecol","first-page":"29s","article-title":"Maternal hydrocephalus and pregnancy","volume":"62","author":"Gast MJ","year":"1983","unstructured":"Gast MJ, Grubb RL Jr, Strickler RC. Maternal hydrocephalus and pregnancy. Obstet Gynecol. 1983;62(3)(suppl):29s\u201331s."},{"issue":"3","key":"b14","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"459","DOI":"10.3171\/jns.1985.63.3.0459","article-title":"Ventriculoperitoneal shunt malfunction during pregnancy. Case report","volume":"63","author":"Hanakita J","year":"1985","unstructured":"Hanakita J, Suzuki T, Yamamoto Y, . Ventriculoperitoneal shunt malfunction during pregnancy. Case report. J Neurosurg. 1985;63(3):459\u2013460.10.3171\/jns.1985.63.3.0459"},{"issue":"6","key":"b15","series-title":"Obstet Gynecol","first-page":"753","article-title":"Malfunction of ventriculoperitoneal shunts during pregnancy","volume":"61","author":"Kleinman G","year":"1983","unstructured":"Kleinman G, Sutherling W, Martinez M, . Malfunction of ventriculoperitoneal shunts during pregnancy. Obstet Gynecol. 1983;61(6):753\u2013754."},{"issue":"1","key":"b16","series-title":"J Obstet Gynaecol","doi-asserted-by":"publisher","first-page":"6","DOI":"10.3109\/01443615.2011.622058","article-title":"Management of pregnancy and delivery of a patient with malfunctioning ventriculoperitoneal shunt","volume":"32","author":"Schiza S","year":"2012","unstructured":"Schiza S, Stamatakis E, Panagopoulou A, . Management of pregnancy and delivery of a patient with malfunctioning ventriculoperitoneal shunt. J Obstet Gynaecol. 2012;32(1):6\u20139.10.3109\/01443615.2011.622058"},{"issue":"3","key":"b17","series-title":"Int J Gynaecol Obstet","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/j.ijgo.2007.05.029","article-title":"Endoscopic third ventriculostomy during pregnancy","volume":"99","author":"Yoshida S","year":"2007","unstructured":"Yoshida S, Minekawa R, Shimoya K, . Endoscopic third ventriculostomy during pregnancy. Int J Gynaecol Obstet. 2007;99(3):249\u2013250.10.1016\/j.ijgo.2007.05.029"},{"issue":"8","key":"b18","series-title":"PLoS One","doi-asserted-by":"publisher","first-page":"e104782","DOI":"10.1371\/journal.pone.0104782","article-title":"Intra-abdominal pressure measurements in term pregnancy and postpartum: an observational study","volume":"9","author":"Staelens AS","year":"2014","unstructured":"Staelens AS, Van Cauwelaert S, Tomsin K, . Intra-abdominal pressure measurements in term pregnancy and postpartum: an observational study. PLoS One. 2014;9(8):e104782.10.1371\/journal.pone.0104782"},{"issue":"2","key":"b19","series-title":"No Shinkei Geka","first-page":"181","article-title":"[Ventriculoperitoneal shunt malfunction due to pregnancy]","volume":"34","author":"Sasagawa Y","year":"2006","unstructured":"Sasagawa Y, Sasaki T, Fuji T, . [Ventriculoperitoneal shunt malfunction due to pregnancy]. No Shinkei Geka. 2006;34(2):181\u2013187."},{"issue":"3","key":"b20","series-title":"Arch Gynecol Obstet","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1007\/s00404-010-1379-3","article-title":"Management of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrial shunt: a case report","volume":"282","author":"Murakami M","year":"2010","unstructured":"Murakami M, Morine M, Iwasa T, . Management of maternal hydrocephalus requires replacement of ventriculoperitoneal shunt with ventriculoatrial shunt: a case report. Arch Gynecol Obstet. 2010;282(3):339\u2013342.10.1007\/s00404-010-1379-3"},{"issue":"7","key":"b21","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1007\/s003810000298","article-title":"Increasing chronic subdural hematoma after endoscopic III ventriculostomy","volume":"16","author":"Beni-Adani L","year":"2000","unstructured":"Beni-Adani L, Siomin V, Segev Y, . Increasing chronic subdural hematoma after endoscopic III ventriculostomy. Childs Nerv Syst. 2000;16(7):402\u2013405.10.1007\/s003810000298"}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/1\/2\/article-CASE2054.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/1\/2\/article-CASE2054.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/1\/2\/article-CASE2054.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:59:08Z","timestamp":1770303548000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/1\/2\/article-CASE2054.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,11]]},"references-count":42,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/case2054","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,11]]}}}