A Ventriculoperitoneal Shunt-induced Chorea: A Case Report and Review of the Literature of Movement Disorders Associated with Shunt.

Abstract: Hemi-chorea following placement of a ventriculoperitoneal shunt in a patient with hydrocephalus is rare. This complication is often misdiagnosed, which delays treatment. Here we present a rare case of hemichorea following placement of a ventriculoperitoneal shunt and the literature on move...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Pediatric Neurosciences Vol. 20; no. 3; pp. 151 - 155
Autores principales: Nayak, Naren, Naikwade, Nitin, Mahamuni, Ashvini
Formato: case study diagnostic images review tables/charts Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Jul-Sep2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190388470&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 190388470
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        18171745
        1KUH
      jtl: Journal of Pediatric Neurosciences
      issn: 18171745
      maglogo: N
    pubinfo:
      dt: Jul-Sep2025
      vid: 20
      iid: 3
      pid: 16919
      pub: Wolters Kluwer India Pvt Ltd
    artinfo:
      ui:
        190388470
        190388470
        190388470
        10.4103/jpn.jpn_20_25
        190388470
      ppf: 151
      ppct: 4
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: A Ventriculoperitoneal Shunt-induced Chorea: A Case Report and Review of the Literature of Movement Disorders Associated with Shunt.
      aug:
        au:
          Nayak, Naren
          Naikwade, Nitin
          Mahamuni, Ashvini
        affil: L. T. M. G. Hospital
      sug:
        subj:
          Hydrocephalus Surgery
          Cerebrospinal Fluid Shunts Adverse Effects
          Chorea Etiology
          Postoperative Complications Diagnosis
          Magnetic Resonance Imaging Methods
          Movement Disorders Etiology
          Male
          Infant
          Vomiting Diagnosis
          Neurobehavioral Manifestations Diagnosis
          Thalamus Injuries
          Basal Ganglia Diseases Etiology
          Tomography, X-Ray Computed Methods
          Aspirin Therapeutic Use
          Catheterization Adverse Effects
          Neurosurgery Adverse Effects
          Infant: 1-23 months
          Male
      ab: Abstract: Hemi-chorea following placement of a ventriculoperitoneal shunt in a patient with hydrocephalus is rare. This complication is often misdiagnosed, which delays treatment. Here we present a rare case of hemichorea following placement of a ventriculoperitoneal shunt and the literature on movement disorders associated with the CSF shunt. A 1.5-year-old male child B/B parents with chief complaints of multiple episodes of emesis and lethargy. Non-contrast CT is suggestive of hydrocephalus. The patient underwent a cerebrospinal fluid diversion procedure, After the procedure, he developed brief, abrupt, irregular, unpredictable, non-stereotyped choreo-athetotic movements of the left upper and lower limbs. Post operative-MRI scan of the brain showed the tip of the shunt abutted the medial aspect of the thalamus and caudate nucleus and diffuse foci of micro-infarcts. Symptoms showed a good response to tablet aspirin. We report that hemichorea is an uncommon complication of ventriculo-peritoneal shunt placement. Neurosurgeons should know the early warning signs for focal deficits, including unilateral movement disorders. Postoperative MRIs also help in diagnosing the cause of movement disorders.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N