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VOLUME 19 , ISSUE 11 ( 2015 ) > List of Articles


Severe respiratory failure following ventriculopleural shunt

Shahzad Alam, Nagaraju M. Manjunath

Keywords : Hydrothorax, ventriculoperitoneal shunt, ventriculopleural shunt

Citation Information : Alam S, Manjunath NM. Severe respiratory failure following ventriculopleural shunt. Indian J Crit Care Med 2015; 19 (11):690-692.

DOI: 10.4103/0972-5229.169359

License: CC BY-ND 3.0

Published Online: 01-02-2013

Copyright Statement:  Copyright © 2015; The Author(s).


Cerebrospinal fluid (CSF) diversion procedure has been used for long to treat hydrocephalus in children. The principle of shunting is to establish a communication between the CSF and a drainage cavity (peritoneum, right atrium, and pleura). Ventriculoperitoneal shunt is used most commonly, followed secondly by ventriculopleural shunt (VPLS). Hydrothorax due to excessive CSF accumulation is a rare complication following both the type of shunts and is more frequently seen with VPLS. We report a case of a 6-year-old female child presenting with massive CSF hydrothorax with respiratory failure following VPLS. The aim of the article is to highlight early recognition of this rare and life-threatening condition, which could easily be missed if proper history is not available.

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  1. Jones RF, Currie BG, Kwok BC. Ventriculopleural shunts for hydrocephalus: A useful alternative. Neurosurgery 1988;23:753-5.
  2. Piatt JH Jr. How effective are ventriculopleural shunts? Pediatr Neurosurg 1994;21:66-70.
  3. Küpeli E, Yilmaz C, Akçay S. Pleural effusion following ventriculopleural shunt: Case reports and review of the literature. Ann Thorac Med 2010;5:166-70.
  4. Hoffman HJ, Hendrick EB, Humphreys RP. Experience with ventriculo-pleural shunts. Childs Brain 1983;10:404-13.
  5. Beach C, Manthey DE. Tension hydrothorax due to ventriculopleural shunting. J Emerg Med 1998;16:33-6.
  6. Irani F, Elkambergy H, Okoli K, Abou DS. Recurrent symptomatic pleural effusion due to a ventriculopleural shunt. Respir Care 2009;54:1112-4.
  7. Grunberg J, Rébori A, Verocay MC, Ramela V, Alberti R, Cordoba A. Hydrothorax due to ventriculopleural shunting in a child with spina bifida on chronic dialysis: Third ventriculostomy as an alternative of cerebrospinal diversion. Int Urol Nephrol 2005;37:571-4.
  8. Weprin B, Swift D. Complications of ventricular shunts. Tech Neurosurg 2002;7:224-42.
  9. Paldino M, Mogilner AY, Tenner MS. Intracranial hypotension syndrome: A comprehensive review. Neurosurg Focus 2003;15:ECP2.
  10. Park ES, Kim E. Spontaneous intracranial hypotension: Clinical presentation, imaging features and treatment. J Korean Neurosurg Soc 2009;45:1-4.
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