case_images: PMC5299149_01
case_images: Computed tomography scan showing Evans index of 0.62, confirming the diagnosis of normal pressure hydrocephalus
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case_images: F1
case_images: The diagnosis of NPH was confirmed by CT scan, with Evans index of 0.62, as shown in Figure 1.
case_images: Computed tomography scan after ventriculoperitoneal shunt with the catheter well positioned in the anterior horn of the right lateral ventricle
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case_images: F2
case_images: In our hospital, we routinely perform CT scans of the skull and abdomen as postoperative control, and both showed the entire system to be positioned properly [Figures 2 and 3].
case_images: Abdomen tomography after ventriculoperitoneal shunt with the catheter well positioned in the peritoneal cavity
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case_images: PMC5299149_01_SNI-7-1142-g003.jpg
case_images: F3
case_images: In our hospital, we routinely perform CT scans of the skull and abdomen as postoperative control, and both showed the entire system to be positioned properly [Figures 2 and 3].
case_images: Abdomen tomography two days later, with the catheter lodged in the subcutaneous tissue, and cerebrospinal fluid collection in the same space
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case_images: F4
case_images: New abdomen CT identified the distal catheter protruding from the peritoneal cavity and housed beneath the subcutaneous tissue, producing a collection of CSF, as shown in Figure 4.
case_images: Aspect of coiling of the distal catheter after opening the abdominal incision
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case_images: F5
case_images: During further surgery to reposition the catheter, it was identified immediately below the skin after the incision, and no other pathological findings were noteworthy [Figures 5 and 6].
case_images: Distal catheter functioning wrapped in the subcutaneous space resulting in collection of cerebrospinal fluid
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case_images: F6
case_images: During further surgery to reposition the catheter, it was identified immediately below the skin after the incision, and no other pathological findings were noteworthy [Figures 5 and 6].
case_images: Abdomen tomography after repositioning of the distal catheter spread into the peritoneal cavity with no other complications
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case_images: F7
case_images: New control CT showed the catheter well positioned in the peritoneal cavity [Figure 7] and the patient symptoms improved.
case_images: Abdominal tomography 2 days after the second surgery demonstrating new protrusion of the catheter from the peritoneal cavity into the subcutaneous space
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case_images: F8
case_images: Another CT scan suggested the same event, with prolapsed and allocated catheter in abdominal subcutaneous and a collection of CSF, as illustrated in Figure 8.
case_images: Final control CT scan, with the ventricular catheter in the proper position
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case_images: F9
case_images: New surgical repositioning of the entire DVP system was performed uneventfully, with appropriate control scans [Figures 9 and 10].
case_images: Final control abdomen tomography, with the peritoneal catheter in proper position
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case_images: F10
case_images: New surgical repositioning of the entire DVP system was performed uneventfully, with appropriate control scans [Figures 9 and 10].