Ventriculosternal Shunting for the Management of XXXX : Case Report of A Novel Technique.

@entity1 @entity1143 @entity712 @entity1276 @entity548 @entity454
BACKGROUND: Conventional cerebrospinal fluid diversion such as ventriculoperitoneal or ventriculoatrial shunting for the management of @entity1276 is one of the commonest neurosurgical procedures. However, in selected @entity1 , surgical options are limited when relative contraindications for these operations exist. A @entity1 who underwent ventriculosternal shunting, a novel procedure, is presented with durable and successful outcomes. OBJECTIVE: To demonstrate the feasibility, durability, and safety of ventriculosternal shunting for the management of @entity1276 . METHODS: A @entity1 with @entity454 and @entity712 with recurrent @entity1143 suffered from post-subarachnoid @entity548 communicating @entity1276 . Because of the need for continuous ambulatory peritoneal dialysis and the risk of introducing excessive cardiac preloading, conventional shunting was relatively contraindicated. Ventriculosternal shunting was performed by adopting the cancellous matrix of the sternum as the anatomic receptacle for intraosseous cerebrospinal fluid absorption. After placement of the ventricular catheter in the usual manner, the distal end was inserted into the sternum. RESULTS: There was demonstrable clinical and radiological improvement in @entity1276 by ventriculosternal shunting. Cerebrospinal fluid intraosseous absorption by this novel procedure translated into both physical and cognitive recovery. The procedure was tolerable, effective, and durable, with the @entity1 suffering no complications 3 years after the procedure. CONCLUSION: Ventriculosternal shunting for the management of @entity1276 is a feasible, safe, and durable surgical treatment option for selected @entity1 when conventional procedures are contraindicated. ABBREVIATION: VS, ventriculosternalThis is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
