🧠 Ventricular Catheter Placement – 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.
  • Intraparenchymal hemorrhage (along catheter tract).
  • Intraventricular hemorrhage.
  • Subarachnoid hemorrhage (SAH).
  • Epidural or subdural hematomas (rare).
  • Meningitis.
  • Ventriculitis.
  • Shunt infection (common organisms: *Staphylococcus epidermidis*).
  • Peritonitis (from infected distal catheter in VP shunts).
  • CSF leak at insertion site.
  • Pseudomeningocele.
  • Tension pneumocephalus (from air introduced during insertion).
  • Persistent hydrocephalus (insufficient drainage).
  • Seizures (due to hemorrhage or cortical irritation).
  • New focal neurological deficits (due to misplacement or edema).
  • ventricular_catheter_placement_complications.txt
  • Last modified: 2025/04/07 10:34
  • by 127.0.0.1