{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:17:12Z","timestamp":1761823032553},"reference-count":13,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:p>\u2713The authors describe the case of a 36-year-old woman with bilateral internal jugular vein occlusion, hydrocephalus, and Dandy\u2013Walker variant who presented with myelopathy that was ultimately attributed to ventriculoperitoneal (VP) shunt failure. Computed tomography (CT) angiography of the head and neck revealed epidural venous engorgement within the cervical spine, greater that 50% narrowing of the C2\u20135 spinal canal, and compression of the cervical spinal cord. After successful shunt revision, postoperative CT angiography revealed decreased venous engorgement as well as decompression of the cervical spinal cord, and the patient\u2019s myelopathy improved. This case represents a fascinating clinical presentation of VP shunt failure, highlighting the physiological importance of the external jugular pathways involved in cerebral venous drainage.<\/jats:p>","DOI":"10.3171\/spi.2007.6.1.60","type":"journal-article","created":{"date-parts":[[2008,1,24]],"date-time":"2008-01-24T12:23:22Z","timestamp":1201177402000},"page":"60-63","source":"Crossref","is-referenced-by-count":11,"title":["Ventriculoperitoneal shunt failure causing myelopathy in a patient with bilateral jugular vein occlusion"],"prefix":"10.3171","volume":"6","author":[{"given":"William E.","family":"Humphries","sequence":"first","affiliation":[{"name":"1Pediatric Neurosurgery Service, Division of Neurosurgery;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter M.","family":"Grossi","sequence":"additional","affiliation":[{"name":"1Pediatric Neurosurgery Service, Division of Neurosurgery;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda G.","family":"Liethe","sequence":"additional","affiliation":[{"name":"2Division of Neuroradiology, Duke University Medical Center, Durham, North Carolina and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy M.","family":"George","sequence":"additional","affiliation":[{"name":"3Pediatric Neurosurgery, Children\u2019s Hospital of Austin, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0060060","doi-asserted-by":"publisher","DOI":"10.1007\/s003810050052"},{"key":"b2-0060060","first-page":"139","volume":"3","author":"Baston OV","year":"1994","journal-title":"Fed Proc"},{"key":"b3-0060060","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-004-1213-3"},{"key":"b4-0060060","first-page":"72","volume":"131","author":"Eckenhoff JE","year":"1970","journal-title":"Surg Gynecol Obstet"},{"key":"b5-0060060","first-page":"305","volume":"28","author":"Gius JA","year":"1950","journal-title":"Surgery"},{"key":"b6-0060060","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-004-1114-0"},{"key":"b7-0060060","first-page":"408","volume":"23","author":"Hoffman O","year":"2002","journal-title":"AJNR Am J Neuroradiol"},{"key":"b8-0060060","first-page":"1871","volume":"15","author":"Okudera T","year":"1994","journal-title":"AJNR Am J Neuroradiol"},{"key":"b9-0060060","first-page":"457","volume-title":"Pediatric Neurosurgery, Surgery of the Developing Nervous System","author":"Rekate HL","year":"2001","edition":"4"},{"key":"b10-0060060","doi-asserted-by":"publisher","DOI":"10.1159\/000028959"},{"key":"b11-0060060","first-page":"1500","volume":"23","author":"San Milan Ruiz D","year":"2002","journal-title":"AJNR Am J Neuroradiol"},{"key":"b12-0060060","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00782.2002"},{"key":"b13-0060060","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)04804-7"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/6\/1\/article-p60.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/6\/1\/article-p60.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,29]],"date-time":"2021-05-29T00:26:55Z","timestamp":1622248015000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/6\/1\/article-p60.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2007,1]]},"references-count":13,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/spi.2007.6.1.60","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2007,1]]}}}