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Sonographically guided aspiration of cerebrospinal fluid pseudocysts in children and adolescents

Brian D Coley1, William E Shiels, Scott Elton

  • 1Department of Radiology, Children's Radiological Institute, Columbus Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA. bcoley@chi.osu.edu

AJR. American Journal of Roentgenology
|October 27, 2004
PubMed

Insights

Sonographically guided cerebrospinal fluid (CSF) pseudocyst aspiration can confirm infection and relieve symptoms. This technique may avoid shunt externalization in children, simplifying treatment for ventriculoperitoneal shunt malfunction.

Area of Science:

  • Pediatric neurosurgery
  • Medical imaging
  • Infectious disease

Background:

  • Cerebrospinal fluid (CSF) pseudocysts are an infrequent cause of ventriculoperitoneal shunt malfunction in pediatric patients.
  • Current treatment involves shunt externalization, antibiotics, and delayed shunt revision.

Purpose of the Study:

  • To assess the efficacy of sonographically guided CSF pseudocyst aspiration in managing pediatric patients.
  • To determine if this approach can obviate the need for shunt externalization and expedite treatment.

Main Methods:

  • Sonographically guided aspiration of CSF pseudocysts.
  • Analysis of fluid for infection.
  • Evaluation of symptom relief and treatment pathway.

Main Results:

  • Aspiration effectively relieved abdominal symptoms and allowed for infection exclusion or confirmation.
  • Patients with sterile pseudocysts avoided staged surgical revision with shunt externalization.

Conclusions:

  • Sonographically guided aspiration is an effective method for diagnosing infection and managing CSF pseudocysts.
  • This technique simplifies and accelerates treatment for pediatric ventriculoperitoneal shunt malfunction when pseudocysts are sterile.
Abstract

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