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Central dilemma in CSF pseudocyst – A case series and review of literature
Cerebrospinal fluid (CSF) pseudocyst abdomen is a rare but well-described complication following ventriculoperitoneal (VP) shunt. This entity does exist since 1954. This is seen more commonly among pediatric population and cause of CSF pseudocyst is still debated, many theories been postulated in th...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9893932/ https://www.ncbi.nlm.nih.gov/pubmed/36743758 http://dx.doi.org/10.25259/JNRP-2021-7-25 |
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author | Kumar, Mukesh Joshi, Amit Tripathi, Manjul Mohindra, Sandeep Nalin, Shrish |
author_facet | Kumar, Mukesh Joshi, Amit Tripathi, Manjul Mohindra, Sandeep Nalin, Shrish |
author_sort | Kumar, Mukesh |
collection | PubMed |
description | Cerebrospinal fluid (CSF) pseudocyst abdomen is a rare but well-described complication following ventriculoperitoneal (VP) shunt. This entity does exist since 1954. This is seen more commonly among pediatric population and cause of CSF pseudocyst is still debated, many theories been postulated in the literature and so are its management. We present our experience with small case series and idea is to provide an alternate management strategy for shunt-independent cases. We did retrospective study of three cases, diagnosed on the basis of clinical profile and imaging. Subclinical infection was ruled out and patients with abdominal complaints predominantly and no ventriculomegaly on Noncontrast computed tomography head were subjected to “shunt-tie” at infraclavicular region. Out of three cases, two had abdominal complaints with no features of raised ICT and no ventriculomegaly. On tying the shunt catheter infraclavicular level for 48–72 h, they did not developed raised ICT/ventriculomegaly. Cyst was drained by percutaneous ultrasound-guided PIGTAIL. Shunt assembly was removed. One patient (shunt dependent) underwent exploratory laparotomy and repositioning of the catheter but experienced shunt malfunction, ultimately VP shunt was converted to ventriculopleural shunt. On follow-ups, there is no residual cyst or recurrence of symptoms. To conclude, evaluation of shunt dependency/non-dependency is of utmost importance. For shunt-independent cases, percutaneous ultrasound-guided PIGTAIL drainage is safe, minimally invasive, and effective procedure and we may avoid many potential complications. |
format | Online Article Text |
id | pubmed-9893932 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-98939322023-02-03 Central dilemma in CSF pseudocyst – A case series and review of literature Kumar, Mukesh Joshi, Amit Tripathi, Manjul Mohindra, Sandeep Nalin, Shrish J Neurosci Rural Pract Case Series Cerebrospinal fluid (CSF) pseudocyst abdomen is a rare but well-described complication following ventriculoperitoneal (VP) shunt. This entity does exist since 1954. This is seen more commonly among pediatric population and cause of CSF pseudocyst is still debated, many theories been postulated in the literature and so are its management. We present our experience with small case series and idea is to provide an alternate management strategy for shunt-independent cases. We did retrospective study of three cases, diagnosed on the basis of clinical profile and imaging. Subclinical infection was ruled out and patients with abdominal complaints predominantly and no ventriculomegaly on Noncontrast computed tomography head were subjected to “shunt-tie” at infraclavicular region. Out of three cases, two had abdominal complaints with no features of raised ICT and no ventriculomegaly. On tying the shunt catheter infraclavicular level for 48–72 h, they did not developed raised ICT/ventriculomegaly. Cyst was drained by percutaneous ultrasound-guided PIGTAIL. Shunt assembly was removed. One patient (shunt dependent) underwent exploratory laparotomy and repositioning of the catheter but experienced shunt malfunction, ultimately VP shunt was converted to ventriculopleural shunt. On follow-ups, there is no residual cyst or recurrence of symptoms. To conclude, evaluation of shunt dependency/non-dependency is of utmost importance. For shunt-independent cases, percutaneous ultrasound-guided PIGTAIL drainage is safe, minimally invasive, and effective procedure and we may avoid many potential complications. Scientific Scholar 2022-12-16 2022 /pmc/articles/PMC9893932/ /pubmed/36743758 http://dx.doi.org/10.25259/JNRP-2021-7-25 Text en © 2022 Published by Scientific Scholar on behalf of Journal of Neurosciences in Rural Practice https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Case Series Kumar, Mukesh Joshi, Amit Tripathi, Manjul Mohindra, Sandeep Nalin, Shrish Central dilemma in CSF pseudocyst – A case series and review of literature |
title | Central dilemma in CSF pseudocyst – A case series and review of literature |
title_full | Central dilemma in CSF pseudocyst – A case series and review of literature |
title_fullStr | Central dilemma in CSF pseudocyst – A case series and review of literature |
title_full_unstemmed | Central dilemma in CSF pseudocyst – A case series and review of literature |
title_short | Central dilemma in CSF pseudocyst – A case series and review of literature |
title_sort | central dilemma in csf pseudocyst – a case series and review of literature |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9893932/ https://www.ncbi.nlm.nih.gov/pubmed/36743758 http://dx.doi.org/10.25259/JNRP-2021-7-25 |
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