AUTHOR=Serratrice Nicolas , Faddoul Joe , Tarabay Bilal , Taifour Sarkis , Abi Lahoud Georges Naïm 

TITLE=Case Report: A Rare Case of Fourth Ventricle to Spinal Subarachnoid Space Shunt Migration: Surgical Pearl and Literature Review

JOURNAL=Frontiers in Surgery

VOLUME=Volume 8 - 2021

YEAR=2021

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2021.696457

DOI=10.3389/fsurg.2021.696457

ISSN=2296-875X

ABSTRACT=Background: In the event of syringomyelia communicating with the fourth ventricle, a fourth ventricle to cervical subarachnoid space shunting could be proposed.

Case report: In this article, we describe the case of a 40 years-old woman who had a previously implanted fourth ventricle to spinal subarachnoid space shunt for the treatment of syringomyelia in a context of Chiari syndrome. The catheter migrated intradurally to the lumbosacral space, but in the absence of neurological repercussions, we decided to leave it in place.

Conclusions:  To the best of our knowledge this is the first case described in the literature of a catheter migration in the subarachnoid space from occipito-cervical to lumbo-sacral level.