Visual and neurological impairment post-dysfunction in the ventricle-peritoneal shunt system: A case report

Valentina Duque , Laura Chaverra , Juanita Cury , María Carolina Portela , Juan Camilo Suárez-Escudero , .

Keywords: Cerebral palsy, cerebral hemorrhage, hydrocephalus, vision, low, neurological rehabilitation, ventricle-peritoneal shunt, optic atrophy

Abstract

Neurological visual impairments in children have multiple causes, some of them reversible while others are not. Hydrocephalus is one of the most important and common ones as it can result in permanent impairment. There are multiple causes of hydrocephalus, intraventricular hemorrhage being the main one. This generally occurs when the germinal matrix bleeds and is very common in preterm newborns.
We present the clinical case of a patient with cerebral palsy, intraventricular hemorrhage, and hydrocephalus as a result of a preterm multiple pregnancy who developed optic atrophy during childhood secondary to ventricle-peritoneal shunt dysfunction. During the rehabilitation and treatment period, she received neurorehabilitation sessions, which improved her visual acuity and capacity. We found similarities and differences with other cases and we confirmed the importance of the treatment chosen for the recovery of visual capacity.

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  • Valentina Duque Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia; Línea de Investigación en Discapacidad, Grupo de Investigación en Salud Pública, Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia https://orcid.org/0000-0001-5784-961X
  • Laura Chaverra Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia; Línea de Investigación en Discapacidad, Grupo de Investigación en Salud Pública, Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia https://orcid.org/0000-0001-8307-1303
  • Juanita Cury Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia; Línea de Investigación en Discapacidad, Grupo de Investigación en Salud Pública, Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia https://orcid.org/0000-0003-4826-784X
  • María Carolina Portela Línea de Investigación en Discapacidad, Grupo de Investigación en Salud Pública, Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia https://orcid.org/0000-0003-2363-6880
  • Juan Camilo Suárez-Escudero Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia; Línea de Investigación en Discapacidad, Grupo de Investigación en Salud Pública, Escuela de Ciencias de la Salud, Facultad de Medicina, Universidad Pontificia Bolivariana, Medellín, Colombia https://orcid.org/0000-0003-0716-561X

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How to Cite
1.
Duque V, Chaverra L, Cury J, Portela MC, Suárez-Escudero JC. Visual and neurological impairment post-dysfunction in the ventricle-peritoneal shunt system: A case report. biomedica [Internet]. 2021 Mar. 19 [cited 2024 May 17];41(1):17-28. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/5657

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Published
2021-03-19
Section
Case presentation

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