| ORIGINAL ARTICLE |
|
| Year : 2007 | Volume
: 12
| Issue : 4 | Page : 214-217 |
Abdominal cerebrospinal fluid pseudocysts in patients with ventriculoperitoneal shunts: 30 years of experience*
M Sanal, E Laimer, B Haussler, J Hager
Department of Pediatric Surgery, University of Innsbruck, 6020, Austria
Correspondence Address:
M Sanal
Department of Pediatric Surgery, University of Innsbruck, Anichstr. 35 - 3N, Innsbruck - 6020
Austria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.40838
Aim: We evaluated the treatment outcome of the patients having cerebrospinal fluid pseudocyst following ventriculo-peritoneal shunt. Materials and Methods: During the period of 1975 to 2005, 392 hydrocephalic patients underwent ventriculo-peritoneal shunt, of these eight developed abdominal cerebrospinal fluid pseudocyst. The medical records regarding the etiology of hydrocephalus, age of shunting, infectious screening, therapy and follow up were evaluated. Results: Cerebrospinal fluid analysis was normal in all except in 4 patients who showed high level of C-reactive protein. One patient had significant abdominal symptoms as pain, vomiting and diarrhea. All were treated by cyst excision, exteriorization of shunt and antibiotic treatment. A new shunt was placed once cerebrospinal fluid cultures were negative. Conclusions: cyst excision, appropriate antibiotic therapy followed by new shunt placement once cerebrospinal fluid cultures are negative constitutes the required treatment for these patients with abdominal pseudocyst.
[FULL TEXT] [PDF]*
|
