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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 0028-3886
Vol. 54, No. 1, 2006, pp. 86-88
Bioline Code: ni06024
Full paper language: English
Document type: Research Article
Document available free of charge

Neurology India, Vol. 54, No. 1, 2006, pp. 86-88

 en Case Report - Hepatic cerebrospinal fluid pseudocyst: A case report and review of the literature
Hsieh CT, Pai CC, Tsai TH, Chiang YH, Su YH


An abdominal pseudocyst is a rare, but important complication in patients with a ventriculo-peritoneal (VP) shunt insertion. Several predisposing factors for this complication have been suggested, including infection, obstruction or dislodgement, but the pathophysiology is still unknown. However, the abdominal inflammatory process is accepted widely as a hypothesis for the formation of an abdominal pseudocyst. In this study, we report the case of a 21-year-old male that presented with a high-grade fever, poor appetite, shortness of breath and unconsciousness 1 week after receiving a VP shunt insertion for obstructive hydrocephalus. Ultrasonography and computed tomographic scans of the abdomen revealed a well-defined large hepatic cyst surrounding the peritoneal tube of the VP shunt. A hepatic cerebrospinal fluid (CSF) cyst was diagnosed and Staphylococcus epidermis check for this species in other resources was cultured via CSF. After externalization of the VP shunt and adequate antibiotic treatment, the hepatic cyst was resolved. There was no recurrence observed in the regular follow up.

Abdominal pseudocyst, hydrocephalus, ventriculoperitoneal shunt

© Copyright 2006 Neurology India.
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