de Oliveira ST, Cavalcante-Neto JF, Matos LEO, Leal PRL, Ribeiro EML, Cristino-Filho G, da Ponte KF. Intraparenchymal pericatheter cyst as an indicator of ventriculoperitoneal shunt malfunction: A case-based update.
Surg Neurol Int 2022;
13:195. [PMID:
35673648 PMCID:
PMC9168389 DOI:
10.25259/sni_180_2022]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Accepted: 04/14/2022] [Indexed: 12/01/2022] Open
Abstract
Background:
Intraparenchymal pericatheter cysts (IPCs) are a rare ventriculoperitoneal shunt (VPS) complication, with only a few cases recorded in the literature.
Case Description:
We report a 22-year-old woman admitted with headache, papilledema, vision loss, and a history of leukemia. Lumbar puncture revealed idiopathic intracranial hypertension (IIH). Three months after VPS implantation, she was readmitted with headache and worsening of visual impairment. CT evidenced a IPC with perilesional edema. Intraoperatively, a shunt revision and cyst drainage were opted for. We present a discussion and literature review on this unique complication of VPS, with emphasis on management.
Conclusion:
It is important to understand and consider IPCs as complications of VPS surgery, including in adult patients and IIH cases.
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