Ventriculoperitoneal shunt induced neck mass mimicking sternocleidomastoid tumour: a previously unreported complication

BMJ Case Rep. 2020 Jul 7;13(7):e233736. doi: 10.1136/bcr-2019-233736.


Ventriculoperitoneal shunt (VPS) for hydrocephalus is associated with various complications. Torticollis due to shunt tract fibrosis is a rare complication of VPS that occurs years later after the initial operation. However, shunt track fibrosis that progressed to large neck mass, mimicking sternocleidomastoid tumour and causing torticollis is a previously unreported complication. This led to the restriction of neck movement and hemifacial hypoplasia. Complete excision of the mass restored neck movement.

Keywords: head and neck surgery; neurosurgery; paediatric surgery.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Fibrosis
  • Head and Neck Neoplasms / diagnostic imaging
  • Humans
  • Hydrocephalus / surgery*
  • Neck / diagnostic imaging*
  • Neck / pathology*
  • Postoperative Complications / etiology
  • Ventriculoperitoneal Shunt / adverse effects*