A case of glomerulonephritis associated with ventriculo-atrial shunt

Ryogo Kikuchi, Masanao Tabuse, Hiromichi Miyazaki, Naomi Ishiyama, Toshio Imafuku, Kaori Kameyama

Research output: Contribution to journalArticle

Abstract

Nephritis associated with a chronically infected ventriculo-atrial (VA) or ventriculo-peritoneal (VP) shunt is known as shunt nephritis. A 60-year-old woman who had a VA shunt implanted for hydrocephalus began to show intermittent low-grade fever of an unknown origin, as well as hypertension and lower leg edema. Laboratory findings showed renal insufficiency with proteinuria, and a percutaneous renal biopsy was performed. Light microscopy revealed findings of membranoproliferative glomerulonephritis. Shunt nephritis was suspected. The VA shunt was removed and the VP shunt was replaced subsequently. Signs of renal impairment were recovered after surgery. However, a new VA shunt was implanted because of a shunt malfunction. Shunt nephritis is a rare complication associated with shunt system implantation. It can be treated successfully by removing the shunt system immediately. It should be considered that shunts, especially VA shunts, always carry a risk of nephritis.

Original languageEnglish
Pages (from-to)31-36
Number of pages6
JournalNeurological Surgery
Volume40
Issue number1
Publication statusPublished - 2012 Jan 10

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Keywords

  • Shunt nephritis
  • Ventriculo-atrial shunt
  • Ventriculo-peritoneal shunt

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Kikuchi, R., Tabuse, M., Miyazaki, H., Ishiyama, N., Imafuku, T., & Kameyama, K. (2012). A case of glomerulonephritis associated with ventriculo-atrial shunt. Neurological Surgery, 40(1), 31-36.