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        <identifier>oai:aino.repo.nii.ac.jp:00000321</identifier>
        <datestamp>2025-09-11T06:11:07Z</datestamp>
        <setSpec>7:37</setSpec>
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          <dc:title>Diaphragm perforation, a rare complication of V-P shunt surgery</dc:title>
          <dc:creator>Takagaki, Masao</dc:creator>
          <dc:creator>Hamahata, Tetsuzou</dc:creator>
          <dc:creator>Saeki, Akio</dc:creator>
          <dc:subject>normal pressure hydrocephalus</dc:subject>
          <dc:subject>V-P shunt</dc:subject>
          <dc:subject>perforation</dc:subject>
          <dc:subject>diaphragm</dc:subject>
          <dc:description>Ventriculoperitoneal shunt surgery is the most widely used procedure in the treatment of hydrocephalus. However, this invasive procedure has been associated with several delayed complications. A 64-year-old male had unusual pneumonia caused by diaphragm perforation due to a ventriculoperitoneal (V-P) shunt catheter 3 years after V-P shunting for secondary normal pressure hydrocephalus after thalamic hemorrhage. Aspiration of hydrothorax of cerebrospinal fluid and removal of the catheter is the only treatment option for patients to alleviate such a lethal pneumonia. Probable causes of this rare complication are discussed, and attention is drawn to the possibility of its appearance and early recognition of respiratory distress.</dc:description>
          <dc:description>departmental bulletin paper</dc:description>
          <dc:date>2006</dc:date>
          <dc:format>application/pdf</dc:format>
          <dc:identifier>AINO JOURNAL</dc:identifier>
          <dc:identifier>1</dc:identifier>
          <dc:identifier>5</dc:identifier>
          <dc:identifier>77</dc:identifier>
          <dc:identifier>80</dc:identifier>
          <dc:identifier>1348480X</dc:identifier>
          <dc:identifier>https://aino.repo.nii.ac.jp/record/321/files/KJ00005223092.pdf</dc:identifier>
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          <dc:language>eng</dc:language>
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