Gastric perforation due to ventriculo-peritoneal shunt.

Gastric perforation is a complication that can arise from ventriculo-peritoneal (VP) shunting. Careful examination of a newborn girl admitted to our department revealed several neurological problems. A VP shunt was inserted under direct visualization, leaving 20 cm of the catheter in the peritoneal cavity.

[Adaptation of the Pudenz system of variation for the lumboperitoneal derivation in communicant hydrocephalia in children].

This paper is a technical report of the procedure we follow at the Neurosurgical Pediatric Service at the Centro Médica La Raza, IMSS for the lumboperitoneal derivations to which we have adapted the Püdenz system for this purpose having excellent results and avoiding the "valve dependency" of the patients.

[Paraplegia as a risk following catheterization of the umbilical artery. Report of a case and bibliographic review].

A case of paraplegia in a female newborn in whom an umbilical catheter was inserted for treatment of fetal maternal isoimmunization with exchange transufsion is presented. Paraplegia was diagnosed in the fifth day after the procedure was performed. A left transfemoral angiography demonstrated the absence of the segmentary artery of Adamkiewicz at the level of T-11, which is responsible of circulation of the lower segment of the spinal cord; paraplegia was considered to be secondary to spinal cord infarction due to thrombosis; other causes of spinal block were ruled out.