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Abdominal CSF pseudocyst. Clinical features and surgical management
Pediatric Neuroscience
|January 1, 1985
Summary
Abdominal cerebrospinal fluid (CSF) pseudocysts often present with abdominal pain and vomiting, not shunt malfunction. Prior shunt infection and high revision rates are common in patients with these pseudocysts.
Area of Science:
- Neurosurgery
- Pediatric Surgery
- Gastroenterology
Background:
- Abdominal cerebrospinal fluid (CSF) pseudocysts are a rare complication of CSF shunting.
- Clinical features and predisposing factors require further elucidation.
Purpose of the Study:
- To review the clinical features, diagnostic methods, and management of abdominal CSF pseudocysts.
- To identify potential risk factors and outcomes associated with this condition.
Main Methods:
- Retrospective review of 26 cases of abdominal CSF pseudocysts.
- Analysis of clinical presentation, diagnostic imaging (ultrasound, CT scan), shunt history, and surgical management.
Main Results:
- Typical symptoms include abdominal pain, distention, nausea, and vomiting.
- Shunt malfunction was not a prominent feature; diagnosis often confirmed by imaging.
- A history of shunt infection (62%) and a high rate of previous shunt revisions (average 11.2) were noted.
- CSF infection was present in 36% of cases, but CSF analysis was not a reliable indicator.
Conclusions:
- Abdominal CSF pseudocysts present with gastrointestinal symptoms and are associated with prior shunt infections and numerous revisions.
- Contralateral ventriculoperitoneal or ventriculoatrial shunting are suggested surgical options.
- Further research is needed to clarify predisposing factors and optimize management strategies.