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Choroid plexus cauterization to treat inadequate abdominal cerebrospinal fluid absorption: case report

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Abstract

Introduction

Inadequate absorption of cerebrospinal fluid (CSF) in the setting of high CSF production is a relatively rare cause of shunt malfunction.

Case report

We present the unique case of a 3-year-old boy who developed sterile ascites and abdominal distension in a delayed fashion after shunt placement. The shunt was externalized, and the patient was noted to have high CSF output. Bilateral choroid plexus cauterization resulted in a significant decrease in CSF production and enabled the shunt to be re-inserted into the abdomen.

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References

  1. Pudenz RH (1981) The surgical treatment of hydrocephalus—an historical review. Surg Neurol 15(1):15–26

    Article  CAS  Google Scholar 

  2. Yuh SJ, Vassilyadi M. (2012) Management of abdominal pseudocyst in shunt-dependent hydrocephalus. Surg Neurol Int 3:146. https://doi.org/10.4103/2152-7806.103890

  3. Diluna ML, Johnson MH, Linda Bi W, Chiang VL, Duncan CC (2006) Sterile ascites from a ventriculoperitoneal shunt: a case report and review of the literature. Childs Nerv Syst 22:1187–1193. https://doi.org/10.1007/s00381-006-0054-2

  4. Olavarria G, Reitman AJ, Goldman S, Tomita T (2005) Post-shunt ascites in infants with optic chiasmal hypothalamic astrocytoma: role of ventricular gallbladder shunt. Childs Nerv Syst 21:382–384

    Article  Google Scholar 

  5. Hallaert GG, Vanhauwaert DJ, Logghe K et al (2012) Endoscopic coagulation of choroid plexus hyperplasia. J Neurosurg Pediatrics 9:010609–107070

  6. Warren DT, Hendson G, Cochrane DD (2009) Bilateral choroid plexus hyperplasia: a case report and management strategies. Childs Nerv Syst 25(12):1617–22. https://doi.org/10.1007/s00381-009-0923-6. Epub 2009 Jun 24. PMID: 19551390

  7. Salomão JF, Leibinger RD (1999) Abdominal pseudocysts complicating CSF shunting in infants and children. Report of 18 cases. Pediatr Neurosurg 31(5):274–8. https://doi.org/10.1159/000028875. PMID: 10681683

  8. Portillo ME, Corvec S, Borens O, Trampuz A (2013) Propionibacterium acnes: an underestimated pathogen in implant-associated infections. Biomed Res Int 2013:804391. https://doi.org/10.1155/2013/804391

  9. Cataltepe O, Liptzin D, Jolley L, Smith TW (2010) Diffuse villous hyperplasia of the choroid plexus and its surgical management. J Neurosurg Pediatrics 5:051008–052002

  10. Yasuda T, Tomita T, McLone DG, Donovan M (2002) Measurement of cerebrospinal fluid output through external ventricular drainage in one hundred infants and children: correlation with cerebrospinal fluid production. Pediatr Neurosurg 36(1):22–8. https://doi.org/10.1159/000048344. PMID: 11818742

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Authors and Affiliations

  1. Department of Neurosurgery, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA

    Laura A. Zima

  2. Departments of Pediatric Surgery and Neurosurgery, McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA

    Ahmed M. Belal & David I. Sandberg

Authors
  1. Laura A. Zima
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  2. Ahmed M. Belal
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  3. David I. Sandberg
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Contributions

Laura Zima: drafting of manuscript, formulating data and graphs, choosing and selecting images, editing and finalizing manuscript. Ahmed M. Belal: editing and finalizing manuscript. David I. Sandberg: drafting of manuscript and editing and finalizing manuscript.

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Correspondence to Laura A. Zima.

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Informed consent was obtained from parents of patient described in case report.

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Consent for publication was obtained from parents of patient described in case report.

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On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Zima, L.A., Belal, A.M. & Sandberg, D.I. Choroid plexus cauterization to treat inadequate abdominal cerebrospinal fluid absorption: case report. Childs Nerv Syst 38, 817–820 (2022). https://doi.org/10.1007/s00381-021-05298-2

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  • DOI: https://doi.org/10.1007/s00381-021-05298-2

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