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Abdominal cerebrospinal fluid pseudocysts in patients with ventriculoperitoneal shunts: 30 years of experienceFNx01

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Author(s): Sanal M | Laimer E | Haussler B | Hager J

Journal: Journal of Indian Association of Pediatric Surgeons
ISSN 0971-9261

Volume: 12;
Issue: 4;
Start page: 214;
Date: 2007;
Original page

Keywords: Abdominal pseudocyst | Children | Hydrocephalus | Ventriculoperitoneal shunt malfunction

ABSTRACT
Aim: We evaluated the treatment outcome of the patients having cerebrospinal fluid pseudocyst following ventriculo-peritoneal shunt. Materials and Methods: During the period of 1975 to 2005, 392 hydrocephalic patients underwent ventriculo-peritoneal shunt, of these eight developed abdominal cerebrospinal fluid pseudocyst. The medical records regarding the etiology of hydrocephalus, age of shunting, infectious screening, therapy and follow up were evaluated. Results: Cerebrospinal fluid analysis was normal in all except in 4 patients who showed high level of C-reactive protein. One patient had significant abdominal symptoms as pain, vomiting and diarrhea. All were treated by cyst excision, exteriorization of shunt and antibiotic treatment. A new shunt was placed once cerebrospinal fluid cultures were negative. Conclusions: cyst excision, appropriate antibiotic therapy followed by new shunt placement once cerebrospinal fluid cultures are negative constitutes the required treatment for these patients with abdominal pseudocyst.
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