Cent Eur Neurosurg 2008; 69(3): 152-154
DOI: 10.1055/s-2007-992135
Case Report

© 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?A. K. Sinha 1 , R. Lall 1 , R. Benson 1 , D. F. O'Brien 2 , N. Buxton 1
  • 1Department of Neurosurgery,Royal Liverpool Childrens' NHS Trust, Liverpool, United Kingdom
  • 2Department of Neurosurgery,Beaumont Hospital, Dublin, Ireland
Further Information

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.

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

    >