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Published on: February 29, 2020
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Silicone allergy mimicking shunt infection
1Department of Neurosurgery, Royal Victoria Hospital, Belfast, United Kingdom of Great Britain and Northern Ireland.
British Journal of Neurosurgery
|October 29, 2020
Summary
Silicone allergy is a rare cause of ventriculo-peritoneal shunt complications, often mimicking infection. Recognizing this allergy requires looking for specific signs like lymphocytic CSF, peripheral eosinophilia, and fibrosis around the shunt.
Area of Science:
- Neurosurgery
- Allergy and Immunology
Background:
- Ventriculo-peritoneal (V-P) shunts are crucial for managing hydrocephalus.
- Shunt complications, particularly infection, are common.
- Rarely, non-infectious complications like allergic reactions can occur.
Conclusions:
- Silicone allergy is a rare but significant cause of V-P shunt failure.
- It can mimic shunt infection, necessitating careful differential diagnosis.
- Consider silicone allergy in cases of V-P shunt complication with lymphocytic CSF, eosinophilia, and fibrosis.

