Atlanto-axial rotatory fixation complicating ventriculo-peritoneal shunt surgery: a case report and literature review

Costanza Zattra, Marco Paolo Schiariti, Emanuele La Corte, Morgan Broggi, Francesco Acerbi, Paolo Ferroli

Research output: Contribution to journalArticle

Abstract

Introduction: Atlanto-axial rotatory fixation (AARF) is a rare complication of ventriculo-peritoneal shunt (VPS) surgery. Case presentation: The authors present a unique case of AARF developing early after VP shunting, with persistent torticollis, a “cock-robin” head position, and a thick fibrous band along the catheter path. Due to refractoriness to conservative treatments, AARF, which can be an early-onset complication of VPS surgery, was resolved by removing the distal catheter along with the fibrous band encasing it. Conclusion: Surgical removal of the fibrous band might be enough to solve such complication with no need of further surgical fusion procedures.

Original languageEnglish
JournalChild's Nervous System
DOIs
Publication statusAccepted/In press - Jan 1 2018

Keywords

  • Atlanto-axial rotatory fixation
  • Hydrocephalus
  • Pediatrics
  • Ventriculo-peritoneal shunt

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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