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  • Title: Total intraventricular migration of unisystem ventriculo-peritoneal shunt.
    Author: Eljamel MS, Sharif S, Pidgeon CN.
    Journal: Acta Neurochir (Wien); 1995; 136(3-4):217-8. PubMed ID: 8748857.
    Abstract:
    This is a report of an hydrocephalic adult, in whom a unishunt system migrated upwards into the ventricle despite using the appropriate clips (lock and slip). The shunt migration discovered 3 months following its insertion. Several mechanisms contributed to the migration; negative sucking intra-ventricular pressure, positive pushing intra-abdominal pressure, tortuous subcutaneous track and neck movements. It seams that lock and slip clips are not enough fixation. The best way of preventing such shunt migration is interposing a reservoir between the ventricular and peritoneal catheters.
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