Delayed cerebrospinal fluid ascites following ventriculoperitoneal shunt
Background: Cerebrospinal fluid (CSF) ascites is an abnormal accumulation of CSF within the peritoneal cavity caused by the peritoneum's inability to absorb the CSF, following a ventriculoperitoneal (VP) shunt surgery. Excessive CSF production (e.g, choroid plexus papilloma and choroid plexus...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
London Academic Publishing
2022-06-01
|
| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2297 |
| _version_ | 1811317259257249792 |
|---|---|
| author | Ahtesham Khizar Soha Zahid |
| author_facet | Ahtesham Khizar Soha Zahid |
| author_sort | Ahtesham Khizar |
| collection | DOAJ |
| description |
Background: Cerebrospinal fluid (CSF) ascites is an abnormal accumulation of CSF within the peritoneal cavity caused by the peritoneum's inability to absorb the CSF, following a ventriculoperitoneal (VP) shunt surgery. Excessive CSF production (e.g, choroid plexus papilloma and choroid plexus villous hypertrophy), high CSF protein secondary to chronic infection (e.g. tuberculosis), and brain tumours (e.g, optic gliomas and craniopharyngiomas) have all been suggested as contributing factors to the formation of CSF ascites. Peritoneal inflammation as a result of several shunt revisions or some non-specific inflammatory reaction to shunt material has also been explored.
Case Presentation: A 3-year-old girl with lumbar myelomeningocele and delayed CSF ascites following VP shunt is reported. Therapeutic paracentesis was employed to relieve abdominal distension, although recurring accumulation was common. The VP shunt was removed and instead of a Ventriculo-atrial shunt, she underwent Endoscopic Third Ventriculostomy (ETV). CSF ascites gradually disappeared after ETV over a two-week period.
Conclusions: Abdominal paracentesis to relieve ascites and conversion of a Ventriculoperitoneal shunt to a Ventriculo-atrial shunt are commonly used to treat CSF ascites, however Endoscopic Third Ventriculostomy, where feasible, is another alternative treatment that can be performed to treat this condition.
|
| first_indexed | 2024-04-13T12:04:53Z |
| format | Article |
| id | doaj.art-647f312e62f54350a14103aabf643a02 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-04-13T12:04:53Z |
| publishDate | 2022-06-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-647f312e62f54350a14103aabf643a022022-12-22T02:47:40ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592022-06-01362Delayed cerebrospinal fluid ascites following ventriculoperitoneal shuntAhtesham KhizarSoha Zahid Background: Cerebrospinal fluid (CSF) ascites is an abnormal accumulation of CSF within the peritoneal cavity caused by the peritoneum's inability to absorb the CSF, following a ventriculoperitoneal (VP) shunt surgery. Excessive CSF production (e.g, choroid plexus papilloma and choroid plexus villous hypertrophy), high CSF protein secondary to chronic infection (e.g. tuberculosis), and brain tumours (e.g, optic gliomas and craniopharyngiomas) have all been suggested as contributing factors to the formation of CSF ascites. Peritoneal inflammation as a result of several shunt revisions or some non-specific inflammatory reaction to shunt material has also been explored. Case Presentation: A 3-year-old girl with lumbar myelomeningocele and delayed CSF ascites following VP shunt is reported. Therapeutic paracentesis was employed to relieve abdominal distension, although recurring accumulation was common. The VP shunt was removed and instead of a Ventriculo-atrial shunt, she underwent Endoscopic Third Ventriculostomy (ETV). CSF ascites gradually disappeared after ETV over a two-week period. Conclusions: Abdominal paracentesis to relieve ascites and conversion of a Ventriculoperitoneal shunt to a Ventriculo-atrial shunt are commonly used to treat CSF ascites, however Endoscopic Third Ventriculostomy, where feasible, is another alternative treatment that can be performed to treat this condition. https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2297hydrocephaluscerebrospinal fluid ascitesendoscopic third ventriculostomy |
| spellingShingle | Ahtesham Khizar Soha Zahid Delayed cerebrospinal fluid ascites following ventriculoperitoneal shunt Romanian Neurosurgery hydrocephalus cerebrospinal fluid ascites endoscopic third ventriculostomy |
| title | Delayed cerebrospinal fluid ascites following ventriculoperitoneal shunt |
| title_full | Delayed cerebrospinal fluid ascites following ventriculoperitoneal shunt |
| title_fullStr | Delayed cerebrospinal fluid ascites following ventriculoperitoneal shunt |
| title_full_unstemmed | Delayed cerebrospinal fluid ascites following ventriculoperitoneal shunt |
| title_short | Delayed cerebrospinal fluid ascites following ventriculoperitoneal shunt |
| title_sort | delayed cerebrospinal fluid ascites following ventriculoperitoneal shunt |
| topic | hydrocephalus cerebrospinal fluid ascites endoscopic third ventriculostomy |
| url | https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2297 |
| work_keys_str_mv | AT ahteshamkhizar delayedcerebrospinalfluidascitesfollowingventriculoperitonealshunt AT sohazahid delayedcerebrospinalfluidascitesfollowingventriculoperitonealshunt |