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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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[Reversible porencephalic cyst related to shunt dysfunction]

José M Santín-Amo, María Rico-Cotelo, Ramón Serramito-García

  • 1Hospital Clinico de Santiago de Compostela, 15706 Santiago de Compostela, Espana.

Revista De Neurologia
|March 11, 2014
PubMed

Insights

Porencephaly, a rare complication of cerebrospinal fluid shunts, can occur postoperatively, particularly in children with taut ventricles. Surgical revision of the shunt led to cyst resolution in a pediatric patient.

Area of Science:

  • Pediatric Neurosurgery
  • Neurology
  • Medical Imaging

Background:

  • Hydrocephalus treatment commonly involves cerebrospinal fluid (CSF) shunts in pediatric neurosurgery.
  • CSF shunt complications, including obstruction, disconnection, overdrainage, and infection, are frequent in children.
  • Porencephaly is a rare postoperative complication associated with CSF shunts.

Observation:

  • A 7.5-year-old girl with a ventriculoperitoneal shunt presented with intermittent headaches.
  • Head CT revealed a cyst in the right temporal lobe.
  • The patient had a history of ventriculoperitoneal shunt placement.

Findings:

  • Ventriculoperitoneal shunt revision was performed.
  • Post-revision CT scans demonstrated gradual resolution of the temporal lobe cyst.
  • The findings suggest a link between shunt dysfunction and cyst formation.

Implications:

  • Cerebrospinal fluid porencephaly is a rare complication of ventricular shunts, often linked to distal catheter dysfunction.
  • Prompt diagnosis and surgical intervention, such as shunt revision, can lead to favorable outcomes.
  • This case highlights the importance of considering shunt complications in pediatric patients presenting with neurological symptoms.
Abstract

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