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Abdominal cerebrospinal fluid pseudocyst: a comparative analysis between children and adults

Carlos B Dabdoub1, Carlos F Dabdoub, Mario Chavez

  • 1Division of Neurosurgery, Japanese University Hospital, Av. Japón #50 y 30 Anillo Interno, Santa Cruz de la Sierra, Bolivia, carlosdabdoub@hotmail.com.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|January 29, 2014
PubMed

Insights

Abdominal cerebrospinal fluid (CSF) pseudocysts are rare complications of ventriculoperitoneal shunts (VPS). This study compares pediatric and adult cases, finding distinct trends in etiology, infection rates, and recurrence between the two groups.

Area of Science:

  • Neurosurgery
  • Pediatric Surgery
  • Medical Complications

Background:

  • Abdominal cerebrospinal fluid (CSF) pseudocysts are infrequent but significant complications following ventriculoperitoneal shunt (VPS) placement.
  • Existing literature lacks comparative analyses between pediatric and adult populations experiencing this complication.

Purpose of the Study:

  • To present institutional experience with abdominal CSF pseudocysts.
  • To conduct a comparative analysis of abdominal CSF pseudocysts in children versus adults.

Main Methods:

  • A comprehensive literature search of the PubMed database was conducted for reports from 1954 to 2012.
  • Statistical comparisons were performed on clinical features, hydrocephalus etiology, shunt revision, CSF infection, treatment, and recurrence rates.
  • Chi-square or Fisher's exact tests were utilized to assess variable associations.

Main Results:

  • A total of 393 cases were analyzed (295 children, 55 adults).
  • Children exhibited higher rates of positive CSF cultures (33%) compared to adults (15%), particularly those under 10 years.
  • Recurrence rates were 19.8% in children and 24.2% in adults, with differing etiological factors between age groups.

Conclusions:

  • Observed differences in etiology and treatment suggest distinct patterns between pediatric and adult abdominal CSF pseudocysts.
  • Further well-designed cohort studies are recommended to validate these findings and inform clinical practice.
Abstract

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