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Intraparenchymal pericatheter cyst as an indicator of ventriculoperitoneal shunt malfunction: A case-based update. | LitMetric

Background: Intraparenchymal pericatheter cysts (IPCs) are a rare ventriculoperitoneal shunt (VPS) complication, with only a few cases recorded in the literature.

Case Description: We report a 22-year-old woman admitted with headache, papilledema, vision loss, and a history of leukemia. Lumbar puncture revealed idiopathic intracranial hypertension (IIH). Three months after VPS implantation, she was readmitted with headache and worsening of visual impairment. CT evidenced a IPC with perilesional edema. Intraoperatively, a shunt revision and cyst drainage were opted for. We present a discussion and literature review on this unique complication of VPS, with emphasis on management.

Conclusion: It is important to understand and consider IPCs as complications of VPS surgery, including in adult patients and IIH cases.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9168389PMC
http://dx.doi.org/10.25259/SNI_180_2022DOI Listing

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