Cerebrospinal Fluid Drainage System Peritoneal Catheter Malfunction in Children

Authors: E. Brichtová;  Z. Mackerle;  J. Tůma ;  P. Gál
Authors‘ workplace: Neurochirurgické oddělení Kliniky dětské chirurgi e, ortopedie a traumatologie FN Brno
Published in: Cesk Slov Neurol N 2009; 72/105(5): 461-465
Category: Short Communication


Peritoneal implantation of a cerebrospinal fluid drainage system distal catheter is generally the most suitable choice. Even if generally accepted, there are possible specific complications. Peritoneal catheter malfunction manifests itself as a drainage system malfunction (signs and symptoms of increased intracranial pressure) or in local abdominal pain and peritoneal signs. Peritoneal catheter malfunction is caused by catheter rupture and dislocation in abdominal cavity, scar tissue adhesions inducing cerebrospinal fluid pseudocyst or by infection. A group of 48 pe­diatric patients with peritoneal catheter malfunction treated in the Department of Neurosurgery, Clinic of Pediatric Surgery, Orthopedics and Traumatology, Brno Faculty Hospital, in the period 1/2003–12/2007, is presented and the malfunction reasons, time from drainage system implantation and therapeutic approach are discussed.

Key words:
peritone al catheter –  catheter failure –  peritone al pse udocyst –  CSF drainage in child –  laparoscopy


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Paediatric neurology Neurosurgery Neurology
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