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Brain injury due to ventricular shunt placement delineated by diffusion tensor imaging (DTI) tractography.
[hydrocephalus with stenosis of the aqueduct of sylvius]
Infection
and
hemorrhage
are
well-known
complications
from
insertion
of
intracranial
shunts
.
However
,
permanent
injury
to
the
brain
caused
by
catheterization
of
the
cerebral
ventricles
has
rarely
been
reported
.
We
report
a
patient
who
presented
at
age
14
years
for
evaluation
of
a
severe
behavioral
disorder
.
The
patient
had
sustained
direct
injury
to
the
corticospinal
tract
and
limbic
system
during
revision
of
a
ventriculoperitoneal
shunt
at
the
age
of
9
years
.
Despite
persistent
evidence
of
severe
disruption
of
the
corticospinal
tract
on
diffusion
tensor
imaging
at
age
14
years
,
the
patient
had
regained
complete
motor
function
.
Recovery
of
motor
function
after
serious
injury
to
motor
cortex
during
childhood
is
a
dramatic
example
of
the
plasticity
of
the
child
's
brain
to
injury
.
In
addition
,
we
suggest
that
the
behavioral
disorder
that
emerged
in
this
patient
may
be
related
to
limbic
system
injury
suffered
during
the
shunt
revision
.
