Türk Nöroşirürji Dergisi 2005 , Vol 15 , Num 2
Ventriculo-Gallbladder Shunting as an Alternative Treatment for Complicated Shunt Dysfunction: Case Report
M. Kemal HAMAMCIOĞLU1, Tufan HİÇDÖNMEZ1, Cumhur KILINÇER1, Osman ŞiMŞEK1, Ümit Nusret BAŞARAN2, Sebahattin ÇOBANOĞLU1
1Trakya Üniversitesi Tıp Fakültesi Nöroşirürji Anabilim Dalı, Edirne
2Trakya Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Anabilim Dalı, Edirne
Diversion of the cerebro-spinal fluid into extracranial spaces is the most frequently performed operation in the treatment of hydrocephalus at present. Intraperitoneal space constitutes the most frequently used place as the distal absorption area. When the peritoneal space is not available, the pleural space or cardiac atrium is chosen. If these three areas are not available for any reason, placing the distal end into the gallbladder may be used as a salvage method. We present a pediatric case, which underwent ventriculo-gallbladder shunting procedure for hydrocephalus after severe head trauma since other distal absorption areas were not usable for various reasons. We think that ventriculogallbladder shunting is a safe, easy to apply and effective choice of the treatment in such complicated cases where the peritoneal, atrial and pleural spaces are not available. Anahtar Kelimeler : Hydrocephalus, ventriculo-gallbladder shunting, shunt dysfunction