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Scoliosis due to scar contracture caused by infection after cyst-peritoneal shunt: a case report and literature review

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Abstract

Background

Cyst-peritoneal (CP) shunt is one of the most common methods for the treatment of intracranial arachnoid cysts (ACs). Infection is a common postoperative complication. We report a patient with scoliosis due to scar contracture caused by infection after CP shunt.

Case description

A 12-year-old boy underwent CP shunt surgery for the left frontoparietotemporal AC when he was 2 years old. At the age of 7 years, he underwent a shunt catheter removal procedure because of the infection caused by the fistula leading from the subcutaneous tunnel to the body surface. However, contracture of the subcutaneous scar from fistula infection caused scoliosis and limited range of motion of the right arm. At the age of 12, the patient received scar lysis and his symptoms improved.

Conclusion

We presented the first case of scoliosis due to scar contracture caused by infection after CP shunt. In this case, timely release of scar tissue can effectively correct scoliosis and limb movement limitation.

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Data availability

Data is available upon reasonable request and with permission of the Second Affiliated Hospital of Wenzhou Medical University. No patient or author details are included in the figures.

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Author notes

  1. Huangyi Fang and Lingfei Wang have contributed equally to this work.

Authors and Affiliations

  1. Department of Neurosurgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China

    Huangyi Fang, Jian Lin, Hansong Sheng & Liang Yang

  2. Department of Pediatric Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China

    Lingfei Wang & Libin Zhu

  3. Department of Neurosurgery, Qingtian County People’s Hospital, Lishui, China

    Xiao Ji

Authors
  1. Huangyi Fang
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Contributions

Huangyi Fang, Lingfei Wang, Xiao Ji, and Liang Yang wrote the main manuscript text. Libin Zhu, Jian Lin, and Hansong Sheng prepared Figs. 1, 2, 3, and 4. Huangyi Fang, Hansong Sheng, and Liang Yang revised the manuscript. All authors read and approved the manuscript.

Corresponding authors

Correspondence to Hansong Sheng or Liang Yang.

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Fang, H., Wang, L., Ji, X. et al. Scoliosis due to scar contracture caused by infection after cyst-peritoneal shunt: a case report and literature review. Childs Nerv Syst 39, 1889–1893 (2023). https://doi.org/10.1007/s00381-023-05931-2

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