Delayed CSF Pseudocyst following Shunt Malfunction after Myelomeningocele Repair

YOSHIHIKO TAKAHASHI; NORIHIRO MURAOKA; KIYOHIKO SAKATA; YOUICHI NONAKA; GOUSUKE HATTORI; TAKASHI TOKUTOMI; MINORU SHIGEMORI

doi:10.2739/kurumemedj.47.225

YOSHIHIKO TAKAHASHI, NORIHIRO MURAOKA, KIYOHIKO SAKATA, YOUICHI NONAKA, GOUSUKE HATTORI, TAKASHI TOKUTOMI, MINORU SHIGEMORI

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Keywords: cerebrospinal fluid fistula, Chiari malformation, complication, myelomenigocele, shunt malfunction

JOURNAL FREE ACCESS

2000 Volume 47 Issue 3 Pages 225-228

DOI https://doi.org/10.2739/kurumemedj.47.225

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Abstract

We report a case of delayed cerebrospinal fluid (CSF) pseudocyst following shunt malfunction in a 20-year-old patient with myelomeningocele. Magnetic resonance (MR) images and a radioimmunoassay shunt-gram detected the CSF fistula at the old scar of the myelomeningocele repaired 20 years before. Since the revision of the shunt system failed to keep the pseudocyst, the lesion was successfully directly repaired. Treatment of the delayed CSF pseudocyst following shunt malfunction thus requires a radical operation of the lesion.

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