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Child's Nervous System

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01-04-2018 | Case-Based Update

A porencephalic cyst formation in a 6-year-old female with a functioning ventriculoperitoneal shunt: a case-based review

Authors: Hyun Joo Park, Sang Hyun Lee, Hyeon Jin Park, Sang-Hoon Shin

Published in: Child's Nervous System | Issue 4/2018

Abstract

Introduction

Porencephalic cysts and cerebrospinal fluid (CSF) edema around the intracranial shuntcatheter are rare complications of ventriculoperitoneal shunt (VPS) surgery. Possible mechanisms leading to a porencephalic cyst formation in a patient with a VPS include taut ventricle, dysfunction of distalcatheters, and irreversible damage to the brain parenchyma caused by shunt insertion, chemotherapy, or radiation. Most of the previous reports were due to shunt malfunction and treatment consisted of shunt revision or removal.

Case Report

We present a case of porencephalic cyst formation in a 6-year-old female as a result ofcerebrospinal fluid under-drainage that was promptly improved with shunt valve adjustment.

Coclusions

A heightened index of suspicion is required to prevent misdiagnosis of porencephalic cysts astumors or abscesses that may lead to unnecessary surgical explorations. Further research is needed toelucidate the pathophysiological mechanism that causes a porencephalic cyst formation.

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Title: A porencephalic cyst formation in a 6-year-old female with a functioning ventriculoperitoneal shunt: a case-based review
Authors: Hyun Joo Park
Sang Hyun Lee
Hyeon Jin Park
Sang-Hoon Shin
Publication date: 01-04-2018
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 4/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-018-3725-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A porencephalic cyst formation in a 6-year-old female with a functioning ventriculoperitoneal shunt: a case-based review

Abstract

Introduction

Case Report

Coclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Case Report

Coclusions

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