Journal of Postgraduate Medicine
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CASE REPORT
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Year : 2013  |  Volume : 59  |  Issue : 3  |  Page : 232-234  

Intraparenchymal pericatheter cyst following disconnection of ventriculoperitoneal shunt system

S Balasubramaniam, DK Tyagi, HV Sawant 
 Department of Neurosurgery, TN Medical College and BYL Nair Hospital, Mumbai Central, Mumbai, Maharashtra, India

Correspondence Address:
S Balasubramaniam
Department of Neurosurgery, TN Medical College and BYL Nair Hospital, Mumbai Central, Mumbai, Maharashtra
India

Ventriculoperitoneal (VP) shunt is one of the most commonly performed procedures in neurosurgery, but it is also the procedure, which is most prone to complications. Spread of cerebrospinal fluid (CSF) into the brain parenchyma is a rare complication of VP shunt and can take the form of CSF edema or a porencephalic cyst. We describe a case of a 1½-year-old child who presented to us with seizures. Computed tomography scan revealed pericatheter porencephalic cyst. Surgical exploration revealed a disconnected VP shunt system. Patient was neurologically observed after shunt extraction. He was seizure free and radiological follow-up showed resolution of cyst. Ours is the first case to document the presence of pericatheter cyst following complete disconnection of shunt system. Though shunt revision is the accepted treatment modality, careful neurological observation can be done after shunt removal especially in asymptomatic cases with compensated hydrocephalus.


How to cite this article:
Balasubramaniam S, Tyagi D K, Sawant H V. Intraparenchymal pericatheter cyst following disconnection of ventriculoperitoneal shunt system.J Postgrad Med 2013;59:232-234


How to cite this URL:
Balasubramaniam S, Tyagi D K, Sawant H V. Intraparenchymal pericatheter cyst following disconnection of ventriculoperitoneal shunt system. J Postgrad Med [serial online] 2013 [cited 2020 Aug 8 ];59:232-234
Available from: http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2013;volume=59;issue=3;spage=232;epage=234;aulast=Balasubramaniam;type=0


 
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