AI Article Synopsis
- A 12-year-old boy who had a cyst-peritoneal shunt for an intracranial arachnoid cyst developed scoliosis due to scar contracture from a postoperative infection.
- He initially had the shunt placed at age 2 and later underwent removal of the shunt catheter at age 7 due to infection.
- At age 12, the patient had a surgical procedure to release the scar tissue, which successfully improved his scoliosis and movement restrictions.
Article 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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| http://dx.doi.org/10.1007/s00381-023-05931-2 | DOI Listing |
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