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DOI: 10.1055/s-2007-992135
© Georg Thieme Verlag KG Stuttgart · New York
Intraparenchymal Pericatheter Cyst Following Ventriculoperitoneal Shunt Insertion: Does it Always Merit Shunt Revision?
Intraparenchymale Zystenbildung um den Ventrikelkatheter nach VP-Shunt-Implantation: Bedarf es immer einer Shuntrevision?Publication History
Publication Date:
29 July 2008 (online)
Abstract
Intraparenchymal pericatheter cyst is a rare complication of shunt surgery. It occurs as a consequence of increased CSF outflow resistance distal to a patent ventricular catheter. Treatment has traditionally consisted of shunt revision. We report on two such cases managed conservatively. The role of shunt revisions in cases with asymptomatic intraparenchymal pericatheter cyst is debatable.
Zusammenfassung
Intraparenchymale Zysten um den Ventrikelkatheter stellen eine seltene Komplikation der Shuntchirurgie dar. Sie entstehen als Folge erhöhten Liquorausflusswiderstandes distal des offenen Ventrikelkatheters. Traditionsgemäß bestand die Behandlung in einer Shuntrevision. Wir berichten zwei solcher Fälle, die konservativ therapiert wurden. Die Rolle von Shuntrevisionen für asymptomatische Fälle ist debattierbar.
Key words
shunt malfunction - intraparenchymal pericatheter cyst - ventriculoperitoneal shunt - shunt revision - pericatheter gliosis
Schlüsselwörter
Shuntinsuffi zienz - intraparenchymale Hirnzyste - ventrikuloperitonealer Shunt - Shuntrevision - Hirnzyste
References
- 1 Iqbal J, Hassounah M, Sheikh B. Intraparenchymal pericatheter cyst. A rare complication of ventriculoperitoneal shunt for hydrocephalus. Br J Neurosurg. 2000; 14 255-258
- 2 Sugimoto K, Enomoto T, Nose T. Reversible porencephaly. Alteration of the cerebrospinal fluid flow after shunt malfunction. Childs Nerv Syst. 1991; 7 394-398
- 3 Vajramani GV, Fugleholm K. Reversible CSF cyst related to a function-ing ventriculo-peritoneal shunt. Acta Neurochir (Wien). 2005; 147 1199-1202
Correspondence
A. K. SinhaFRCS (SN)
Department of Neurosurgery
Royal Liverpool Childrens' NHS Trust
Eaton Road
112 2ap Liverpool
United Kingdom
Phone: +44/151/252 50 18
Fax: +44/151/252 50 18
Email: sinha62@doctors.org.uk