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Article: Abdominal cerebrospinal fluid (CSF) pseudocyst presented with inferior vena caval obstruction and hydronephrosis

TitleAbdominal cerebrospinal fluid (CSF) pseudocyst presented with inferior vena caval obstruction and hydronephrosis
Authors
KeywordsCerebrospinal fluid
Complication
Hydronephrosis
Inferior vena cava
Pseudocyst
Ventriculo-peritoneal shunt
Issue Date2010
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00381/index.htm
Citation
Child's Nervous System, 2010, v. 26 n. 9, p. 1243-1245 How to Cite?
AbstractPurpose: Abdominal cerebrospinal fluid (CSF) pseudocyst is an uncommon complication of ventriculo-peritoneal shunt placement. A large pseudocyst may exert a significant pressure effect, but vascular or urological symptoms are extremely rare. We report an unusual case of a CSF pseudocyt causing inferior vena caval and ureteric obstruction. Case: A 14-year-old girl had previously undergone ventriculo-peritoneal shunting for congenital hydrocephalus. She developed bilateral ankle edema as the only presenting symptom of a large non-infected cerebrospinal CSF pseudocyst. The associated abdominal distension was initially attributed to obesity, and the patient was unable to communicate due to developmental delay. Imaging studies showed that the pseudocyst was causing inferior vena caval obstruction and bilateral hydronephrosis. The ankle edema and hydronephrosis resolved after aspiration of the pseudocyst and shunt revision. Conclusion: Children who require CSF shunting may suffer from associated developmental delay and are frequently unable to communicate their symptomatic complaints. This case illustrated the importance of a heightened clinical suspicion in managing these patients in whom shunt failure may present with subtle and obscure signs of lower body venous congestion. © 2010 Springer-Verlag.
Persistent Identifierhttp://hdl.handle.net/10722/125458
ISSN
2023 Impact Factor: 1.3
2023 SCImago Journal Rankings: 0.518
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, GKKen_HK
dc.date.accessioned2010-10-31T11:32:33Z-
dc.date.available2010-10-31T11:32:33Z-
dc.date.issued2010en_HK
dc.identifier.citationChild's Nervous System, 2010, v. 26 n. 9, p. 1243-1245en_HK
dc.identifier.issn0256-7040en_HK
dc.identifier.urihttp://hdl.handle.net/10722/125458-
dc.description.abstractPurpose: Abdominal cerebrospinal fluid (CSF) pseudocyst is an uncommon complication of ventriculo-peritoneal shunt placement. A large pseudocyst may exert a significant pressure effect, but vascular or urological symptoms are extremely rare. We report an unusual case of a CSF pseudocyt causing inferior vena caval and ureteric obstruction. Case: A 14-year-old girl had previously undergone ventriculo-peritoneal shunting for congenital hydrocephalus. She developed bilateral ankle edema as the only presenting symptom of a large non-infected cerebrospinal CSF pseudocyst. The associated abdominal distension was initially attributed to obesity, and the patient was unable to communicate due to developmental delay. Imaging studies showed that the pseudocyst was causing inferior vena caval obstruction and bilateral hydronephrosis. The ankle edema and hydronephrosis resolved after aspiration of the pseudocyst and shunt revision. Conclusion: Children who require CSF shunting may suffer from associated developmental delay and are frequently unable to communicate their symptomatic complaints. This case illustrated the importance of a heightened clinical suspicion in managing these patients in whom shunt failure may present with subtle and obscure signs of lower body venous congestion. © 2010 Springer-Verlag.en_HK
dc.languageengen_HK
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00381/index.htmen_HK
dc.relation.ispartofChild's Nervous Systemen_HK
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectCerebrospinal fluiden_HK
dc.subjectComplicationen_HK
dc.subjectHydronephrosisen_HK
dc.subjectInferior vena cavaen_HK
dc.subjectPseudocysten_HK
dc.subjectVentriculo-peritoneal shunten_HK
dc.titleAbdominal cerebrospinal fluid (CSF) pseudocyst presented with inferior vena caval obstruction and hydronephrosisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0256-7040&volume=26&issue=9&spage=1243&epage=1245&date=2010&atitle=Abdominal+cerebrospinal+fluid+(CSF)+pseudocyst+presented+with+inferior+vena+caval+obstruction+and+hydrocephalusen_HK
dc.identifier.emailLeung, GKK: gilberto@hkucc.hku.hken_HK
dc.identifier.authorityLeung, GKK=rp00522en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00381-010-1221-zen_HK
dc.identifier.pmid20623127-
dc.identifier.scopuseid_2-s2.0-77956181897en_HK
dc.identifier.hkuros178906en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77956181897&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume26en_HK
dc.identifier.issue9en_HK
dc.identifier.spage1243en_HK
dc.identifier.epage1245en_HK
dc.identifier.isiWOS:000280843100002-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridLeung, GKK=35965118200en_HK
dc.identifier.citeulike7494006-
dc.identifier.issnl0256-7040-

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