🧠 Ventricular Catheter Placement – Complications
✅ 1. Mechanical Complications
-
- Catheter tip outside the ventricle (e.g., into brain parenchyma or subarachnoid space).
- Incorrect trajectory, e.g., not near the foramen of Monro.
- Obstruction / Occlusion
- Caused by blood clots, choroid plexus, or debris.
- Fracture or Disconnection (especially in VP shunts).
- Catheter Migration or Retraction
- Overdrainage
- Slit ventricle syndrome.
- Subdural hematomas.
✅ 2. Hemorrhagic Complications
- Intraparenchymal hemorrhage (along catheter tract).
- Intraventricular hemorrhage.
- Subarachnoid hemorrhage (SAH).
- Epidural or subdural hematomas (rare).
✅ 3. Infectious Complications
- Meningitis.
- Ventriculitis.
- Shunt infection (common organisms: *Staphylococcus epidermidis*).
- Peritonitis (from infected distal catheter in VP shunts).
✅ 4. CSF-Related Complications
- CSF leak at insertion site.
- Pseudomeningocele.
- Tension pneumocephalus (from air introduced during insertion).
- Persistent hydrocephalus (insufficient drainage).
✅ 5. Neurological Complications
- Seizures (due to hemorrhage or cortical irritation).
- New focal neurological deficits (due to misplacement or edema).