Ommaya reservoir, also known as Ommaya shunt, is a device consisting of an intraventricular catheter connected to a reservoir (port) implanted beneath the scalp. It is used for intrathecal administration of medication such as chemotherapy (mainly in the treatment of meningeal lymphomas, but also for other meningeal pathology) and palliative analgesics, as well as for CSF aspiration.
It can also be used for aspirating large cystic brain tumors as part of combination therapy. 1
- subdural hematoma or hygroma 2
- perforation of ventricular wall 3
- leucoencephalopathy secondary to administered medication 4
- a case of cavum septi pellucidi development due to shunt placement was reported 5
History and etymology
It was invented by Pakistani neurosurgeon Ayub K Ommaya. 6
Disclosure: I, Aneta Kecler - Pietrzyk , have no actual or potential ethical or financial conflict of interest in relation to this device. This article is not intended to be a personal endorsement or recommendation of this product.
- 1. Yamanaka Y, Shuto T, Kato Y, Okada T, Inomori S, Fujino H, Nagano H. Ommaya reservoir placement followed by Gamma Knife surgery for large cystic metastatic brain tumors. Journal of neurosurgery. 105 Suppl: 79-81. doi:10.3171/sup.2006.105.7.79 - Pubmed
- 2. Lishner M, Perrin RG, Feld R, Messner HA, Tuffnell PG, Elhakim T, Matlow A, Curtis JE. Complications associated with Ommaya reservoirs in patients with cancer. The Princess Margaret Hospital experience and a review of the literature. Archives of internal medicine. 150 (1): 173-6. Pubmed
- 3. Bleyer WA, Pizzo PA, Spence AM, Platt WD, Benjamin DR, Kolins CJ, Poplack DG. The Ommaya reservoir: newly recognized complications and recommendations for insertion and use. Cancer. 41 (6): 2431-7. Pubmed
- 4. Stone JA, Castillo M, Mukherji SK. Leukoencephalopathy complicating an Ommaya reservoir and chemotherapy. Neuroradiology. 41 (2): 134-6. Pubmed
- 5. Sherman PM, Aygun N. Development of a cavum septi pellucidi after Ommaya reservoir placement: report of an unusual complication. Acta neurochirurgica. 148 (3): 359-62; discussion 362. doi:10.1007/s00701-005-0652-x - Pubmed
- 6. Ommaya AK. Subcutaneous reservoir and pump for sterile access to ventricular cerebrospinal fluid. Lancet (London, England). 2 (7315): 983-4. Pubmed