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IntroductionAtlanto-axial rotatory fixation (AARF) is a rare complication of ventriculo-peritoneal shunt (VPS) surgery.Case presentationThe authors present a unique case of AARF developing early after VP shunting, with persistent torticollis, a… Click to show full abstract
IntroductionAtlanto-axial rotatory fixation (AARF) is a rare complication of ventriculo-peritoneal shunt (VPS) surgery.Case presentationThe authors present a unique case of AARF developing early after VP shunting, with persistent torticollis, a “cock-robin” head position, and a thick fibrous band along the catheter path. Due to refractoriness to conservative treatments, AARF, which can be an early-onset complication of VPS surgery, was resolved by removing the distal catheter along with the fibrous band encasing it.ConclusionSurgical removal of the fibrous band might be enough to solve such complication with no need of further surgical fusion procedures.
Journal Title: Child's Nervous System
Year Published: 2018
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