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Updated: Feb 15, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
A porencephalic cyst formation in a 6-year-old female with a functioning ventriculoperitoneal shunt: a case-based
Hyun Joo Park1, Sang Hyun Lee2, Hyeon Jin Park3
1Department of Neurosurgery, Seoul National University, College of Medicine, Seoul, Republic of Korea.
Insights
Porencephalic cysts, a rare complication of ventriculoperitoneal shunt (VPS) surgery, can be caused by cerebrospinal fluid (CSF) under-drainage. Prompt shunt valve adjustment successfully resolved the cyst in a pediatric case.
Area of Science:
- Neurosurgery
- Pediatric Neurology
- Medical Complications
Background:
- Porencephalic cysts and cerebrospinal fluid (CSF) edema are rare complications following ventriculoperitoneal shunt (VPS) surgery.
- Potential causes include taut ventricles, distal catheter dysfunction, or brain parenchyma damage from shunt insertion, chemotherapy, or radiation.
- Previous reports often linked these cysts to shunt malfunction requiring revision or removal.
Introduction:
Porencephalic cysts and cerebrospinal fluid (CSF) edema around the intracranial shuntcatheter are rare complications of ventriculoperitoneal shunt (VPS) surgery. Possible mechanisms leading to a porencephalic cyst formation in a patient with a VPS include taut ventricle, dysfunction of distalcatheters, and irreversible damage to the brain parenchyma caused by shunt insertion, chemotherapy, or radiation. Most of the previous reports were due to shunt malfunction and treatment consisted of shunt revision or removal.
Case Report:
We present a case of porencephalic cyst formation in a 6-year-old female as a result ofcerebrospinal fluid under-drainage that was promptly improved with shunt valve adjustment.
Coclusions:
A heightened index of suspicion is required to prevent misdiagnosis of porencephalic cysts astumors or abscesses that may lead to unnecessary surgical explorations. Further research is needed toelucidate the pathophysiological mechanism that causes a porencephalic cyst formation.
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