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Child's Nervous System

, Volume 35, Issue 4, pp 713–717 | Cite as

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

  • Costanza ZattraEmail author
  • Marco Paolo Schiariti
  • Emanuele La Corte
  • Morgan Broggi
  • Francesco Acerbi
  • Paolo Ferroli
Case Report

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.

Keywords

Pediatrics Atlanto-axial rotatory fixation Hydrocephalus Ventriculo-peritoneal shunt 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from the patient and his parents.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurosurgeryFondazione IRCCS Istituto Neurologico Carlo BestaMilanItaly
  2. 2.Department of Health SciencesUniversity of MilanMilanItaly

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