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Bilateral intracranial granulomas as a complication of infected subdural peritoneal shunt
Brain & Development
|January 1, 1983
Insights
Intracranial granulomas are rare in children. This case highlights them as a potential complication of subdural-peritoneal shunts, even in young patients.
Area of Science:
- Pediatric Neurosurgery
- Neurology
- Medical Imaging
Background:
- Intracranial granulomas are exceptionally rare in pediatric patients.
- Subdural-peritoneal shunts are utilized in neonates for cerebrospinal fluid diversion.
Observation:
- A three-year-old child presented with bilateral intracranial granulomas.
- The granulomas were found to originate from the distal ends of bilateral subdural-peritoneal shunts.
- Serial computerized tomography scans showed varied and unusual imaging characteristics.
Findings:
- The study identified a direct link between subdural-peritoneal shunts and the development of intracranial granulomas in a child.
- Computerized tomography findings were noted to be variable and peculiar, necessitating careful interpretation.
Implications:
- Intracranial granuloma should be considered a potential complication in pediatric patients with indwelling subdural-peritoneal shunts.
- This finding underscores the importance of monitoring patients with shunts for rare complications.
- Further research may be warranted to understand the pathogenesis and optimal management of shunt-associated intracranial granulomas.
Abstract:
Intracranial granuloma in childhood is considered to be a very rare disorder. A three-year-old child is described who had bilateral intracranial granulomas originating from the ends of bilateral subdural-peritoneal shunts. Serial computerized tomographic examinations revealed variable and peculiar findings. Since subdural-peritoneal shunt is used in neonate, intracranial granuloma must be considered as a potential complication of unremoved subdural-peritoneal shunt.