A case of cerebrospinal fluid (CSF) pseudocysts in a patient with a ventriculoperitoneal (VP) shunt is reported to describeacute unusual location of developmentof pseudocyst. In the setting of a VP shunt, the frequency of abdominal CSF pseudocyst formation is approximately 4.5%, often being precipitated by a recent inflammatory/infective process or recent surgery. Larger pseudocysts tend to be ...

To cite: de Gusmäo CM, Berkowitz AL, Hung AY, et al. Pract Neurol 2015;15:42–44. INTRODUCTION Cerebrospinal fluid (CSF) diversion by shunting provides effective management of hydrocephalus. However, complication rates of CSF shunts range from 5% to 50%. Most common are shunt infections and mechanical failures; these may lead either to underdrainage (with re-emergence of hydrocephalus) or overdr...

OBJECTIVE Infantile posthemorrhagic hydrocephalus (IPHH) is the most common cause of infantile acquired hydrocephalus. We present and discuss our experience of treatment of six IPHH patients treated by a ventriculo-peritoneal (VP) shunt. METHODS Six preterm infants treated by a VP shunt due to germinal matrix hemorrhage and hydrocephalus were included in our study. External ventricular draina...

Cerebrospinal fluid (CSF) pseudocyst formation is an uncommon cause of ventriculoperitoneal shunt malfunction in children. Standard management consisted of laparotomy with repositioning of the shunt and drainage of the pseudocyst. Recurrence of pseudocyst in these patients is well known and resulted in multiple laparotomies and eventually a ventriculo-atrial shunt. We managed a patient laparosc...

BACKGROUND The consensus on most reliable supplemental test to predict the shunt responsiveness in patients with idiopathic normal pressure hydrocephalus (iNPH) is lacking. The aim of this study is to discuss the utility of external lumbar drain (ELD) in evaluation of shunt responsiveness for iNPH patients. METHODS A retrospective review of 66 patients with iNPH was conducted. All patients un...

Aim. To compare the effectiveness of surgical procedures (selective or nonselective shunt, devascularization, and combined shunt and devascularization) in preventing recurrent variceal bleeding and other complications in patients with portal hypertension. Methods. A systematic literature search of the Medline and Cochrane Library databases was carried out, and a meta-analysis was conducted acco...

Undernutrition is common in surgical patients, is frequently unrecognised and is strongly associated with adverse outcomes such as high rates of complications and mortality, worsening functional status and prolonged hospitalisation. Owing to the associated infection and symptoms such as repeated vomiting, a high prevalence of undernutrition is expected in hydrocephalus patients, which may contr...

IntroductionHydrocephalus is one of the commonest complications of tuberculous meningitis (TBM). Endoscopic third ventriculostomy (ETV) has evolved as an alternative to shunt surgeries for obstructive hydrocephalus in TBM. It offers the opportunity to keep the patient free of foreign material and its associated complications. MethodsA retrospective study was carried out from July 2014 to June 2...

Dr. Marcelo Luis Mudo – Rua dos Apeninos 930 / 14o 04104-020 São Paulo SP Brasil. E-mail: [email protected] Ventriculoperitoneal (VP) shunt is a common form of treatment for hydrocephalus. Although simple technically, a high level of surgical complications have been described We reported a case of ventriculoperitoneal shunt failure due to migration of the distal catheter under a silicone breast...

Ventriculoperitoneal shunts (VPS) are the primary treatment for hydrocephalus and are associated with a high risk of complications, specifically in patients who are obese or have abdominal adhesions or shunt revisions. The present study describes the use of a novel type of peritoneal catheter peritoneocentesis trocar insertion with the assistance of a one-port laparoscope. A total of 36 patient...