Abstract Archives of the RSNA, 2014
NRE234
Imaging of the Ventricular Shunts: Normal Findings and Complications
Education Exhibits
Presented in 2014
Maria Del Pilar Sanchez-Camacho Gonzalez-Carrato MD, Presenter: Nothing to Disclose
Isabel Herrera, Abstract Co-Author: Nothing to Disclose
Paula Maria Hernandez Guilabert MD, Abstract Co-Author: Nothing to Disclose
Elena Capilla, Abstract Co-Author: Nothing to Disclose
Manuel Amosa, Abstract Co-Author: Nothing to Disclose
Rafael Gonzalez Gutierrez, Abstract Co-Author: Nothing to Disclose
1. To review the normal findings and intra-extracranial complications after hydrocephalus treatment by ventricular shunt
2. To learn the normal imaging findings and intra-extracranial complications after ventricular shunt placement with computed tomography (CT), magnetic resonance imaging (MRI), digital radiography (DR), abdominal ultrasound (AU) and transfontanelar ultrasound (TU)
We retrospectively reviewed the ventricular shunt procedures performed at our center from October 2012 to January 2014, analyzing postprocedural normal imaging findings and complications. Postoperative control was carried out with CT, MRI, DR, AU and/or TU.
Out of overall 614 neurosurgical procedures, 206 were ventricular shunt placements. Postoperative complications were observed in 72 (34.95%) of them:
Intracraneal complications (65 - 90.28% -):
- 19 infections,
- 16 shunt obstructions,
- 11 pericatheter or intraventricular bleedings,
- 11 overshuntings,
- 4 misplacements into brain parenchyma,
- isolated cases of ventricular loculation, corpus callosum edema, cerebral venous thrombosis and paradoxical herniation.
Extracraneal complications (7 - 9.72% -):
- 2 abdominal pseudocysts,
- isolated cases of intestinal perforation, peritoneal fibrosis, distal catheter misplacement, broken shunt and atrial thrombosis.
http://abstract.rsna.org/uploads/2014/14006728/14006728_82jp.pdf
Sanchez-Camacho Gonzalez-Carrato, M,
Herrera, I,
Hernandez Guilabert, P,
Capilla, E,
Amosa, M,
Gonzalez Gutierrez, R,
Imaging of the Ventricular Shunts: Normal Findings and Complications. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14006728.html