Abdominal CSF pseudocyst: Clinical features and surgical management

Yoon S. Hahn*, Herbert Engelhard, David G. McLone

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

Twenty-six cases of abdominal cerebrospinal fluid (CSF) pseudocyst have been reviewed and the clinical features identified. Typical presentation includes abdominal pain and/or distention, with nausea or vomiting. Manifest shunt malfunction is not a prominent feature. Diagnosis can usually be confirmed by abdominal ultrasound and/or CT scan. No clear predisposing factors were identified, although a prior shunt infection was found in 62% of the patients. The number of previous shunt revisions ranged from 0 to 51 (average 11.2). This revision rate is significantly higher than in other groups of patients. CSF obtained at the time of surgery was infected 36% of the time. CSF appearance and laboratory value did not reliably indicate infection as a cause of the pseudocyst. Suggested surgical management consists of a contralateral ventriculoperitonal shunt or a ventriculoatrial shunt.

Original languageEnglish (US)
Pages (from-to)75-79
Number of pages5
JournalPediatric Neurosurgery
Volume12
Issue number2
DOIs
StatePublished - Jan 1 1985

Keywords

  • Acute abdomen
  • Cerebrospinal fluid pseudocyst
  • Shunt infection
  • Shunt malfunction
  • Shunt removal

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Surgery

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