Treatment of recurrent, multiloculated, obstructive hydrocephalus with suprahepatic peritoneal catheter placement

Abstract

The suprahepatic space represents a potential reservoir for cerebrospinal fluid absorption and becomes critical when extensive abdominal adhesions prevent passage of a peritoneal shunt catheter toward the pelvis. We present a patient with refractory hydrocephalus in which a multishunt system with drainage into the suprahepatic space was ultimately successful in decompressing the patient's trapped ventricular spaces. © 2013 Elsevier Ltd. All rights reserved.