Evaluación progresiva del grado de satisfacción entre los trabajadores de un Centro de Salud tras su informatización / No disponible

No disponible

Valoración del trabajo en un centro de salud tras su informatización / Evaluation of work in a health care center after its computerization

No disponible

No disponible

[Delayed brain abscess as a complication of a CSF shunt]. / Absceso cerebral tardío como complicación de una derivación ventrículo-peritoneal.

INTRODUCTION: Infection is a common complication of ventriculoperitoneal shunts, but the formation of a brain abscess related to shunt system is very rare. We present the case of a patient who developed a brain abscess around a ventricular catheter left in place after removing the valvular system. CASE REPORT: This 38 years old woman, underwent ventriculoperitoneal shunting for hydrocephalus secondary to an acoustic neurinoma. During a period of thirteen years she suffered two episodes of meningitis, and after the second one the CSF shunt was removed excepting for the ventricular catheter which appeared to be adherent to the choroid plexus. One year later, a brain abscess arised around that catheter, and both the abscess and the catheter were removed (Proteus mirabilis was the cultured germ). DISCUSSION: In spite of the risks related to removal of a proximal catheter adherent to the choroid plexus, the risk linked to the removal of a ventricular catheter must be counterbalanced with the risk of infection.