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Titolo:
Abdominal cerebrospinal fluid pseudocyst: A complication of ventriculoperitoneal shunt in children
Autore:
Roitberg, BZ; Tomita, T; McLone, DG;
Indirizzi:
Childrens Mem Hosp, Div Neurosurg, Chicago, IL 60614 USA Childrens Mem Hosp Chicago IL USA 60614 Neurosurg, Chicago, IL 60614 USA Northwestern Univ, Sch Med, Chicago, IL USA Northwestern Univ Chicago IL USA hwestern Univ, Sch Med, Chicago, IL USA
Titolo Testata:
PEDIATRIC NEUROSURGERY
fascicolo: 5, volume: 29, anno: 1998,
pagine: 267 - 273
SICI:
1016-2291(199811)29:5<267:ACFPAC>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFECTION; CATHETER; ADHESION; ALLERGY;
Keywords:
cerebrospinal fluid; pseudocyst; ventriculoperitoneal shunt; treatment outcome; child;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Roitberg, BZ Univ Illinois Hosp, Dept Neurosurg, Chicago, IL 60612 USA Univ Illinois Hosp Chicago IL USA 60612 hicago, IL 60612 USA
Citazione:
B.Z. Roitberg et al., "Abdominal cerebrospinal fluid pseudocyst: A complication of ventriculoperitoneal shunt in children", PED NEUROS, 29(5), 1998, pp. 267-273

Abstract

The present paper is a retrospective analysis of 27 consecutive patients, treated for abdominal cerebrospinal fluid (CSF) pseudocyst at the Children's Memorial Hospital in the years 1991-1996. This series is compared to the previous experience from our institution. Treatment consisted of the removal of the ventriculoperitoneal (VP) shunt and placement of an external ventricular drain. Antibiotics were administered intravenously for 10 days. The cysts were aspirated intraoperatively in 9 patients and postoperatively with ultrasound guidance in 3 patients, while they resolved spontaneously in 15 others. In 21 of 27 cases (78%), the shunt could be reinserted into the abdomen in a new location. Four patients had a ventriculopleural shunt, and in 2 patients, a ventriculoatrial shunt was inserted. Forty-four percent ofthe patients had a positive culture on presentation. The positive culture rate was 77% for those 4 years old and younger and only 28% for those aged 5 and above (p = 0.03). We conclude that abdominal CSF pseudocysts are resolved by externalizing the shunt. A VP shunt can be safely reinserted in themajority of the patients. Infection, while an important factor, is not likely to account for all cases of pseudocyst.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 22:25:53