caa a22 4500 463178920 CHVBK 20180406164833.0 cr unu---uuuuu 170326e20070101xx s 000 0 eng 10.1007/s00381-006-0183-7 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0183-7 An alternative approach for management of abdominal cerebrospinal fluid pseudocysts in children [Elektronische Daten] [Ricardo Santos de Oliveira, Aline Barbosa, Yvone Vicente, Hélio Rubens Machado] Background: Cerebrospinal fluid (CSF) abdominal pseudocyst is an uncommon but important complication of ventriculoperitoneal shunts. From the collected series, several features about the etiology and management become apparent. Retrospective data were obtained from 12 children treated with cerebrospinal fluid abdominal pseudocyst defined an alternative approach for management of these patients. Methods: There were eight girls and four boys who ranged in age from 12days to 18years old (mean 7.7months). The most frequent etiology of the hydrocephalus was Chiari type II malformation in six cases. Initial presentation with shunt malfunction was detected in nine cases. Abdominal distention and/or pain were the most frequent finding in our series (10/12). In only one case, infection was detected for all cerebrospinal fluid abdominal pseudocysts (8.3%). Ventriculoperitoneal shunt (VPS) externalization, antibiotics, and cyst aspiration was performed in 8/12 cases as initial management of abdominal pseudocyst. Ventriculoperitoneal shunt reinsertion in abdominal cavity and/or endoscopic third ventriculostomy (ETV) was performed as final management in 9/12. Ventriculoatrial shunt was used only in three cases. Recurrence of the abdominal cyst was observed in two cases. Discussion: Based on the success rate (75%) in our series submitted to this management, a ventriculoperitoneal shunt can be safely reinserted in the majority of the patients. Endoscopic third ventriculostomy could be performed in selected cases as an alternative approach. Although infection has been reported as responsible for pseudocyst formation, it was only exceptionally found in our series. Springer-Verlag, 2006 Hydrocephalus nationallicence Cerebrospinal fluid abdominal pseudocyst nationallicence Ventriculoperitoneal shunt nationallicence Endoscopic third ventriculostomy nationallicence Santos de Oliveira Ricardo Division of Pediatric Neurosurgery, Ribeirão Preto School of Medicine, University of São Paulo, Campus Universitário, 14049-900, São Paulo, Brazil aut Barbosa Aline Division of Pediatric Surgery, Ribeirão Preto School of Medicine, University of São Paulo, Campus Universitário, 14049-900, São Paulo, Brazil aut Vicente Yvone Division of Pediatric Surgery, Ribeirão Preto School of Medicine, University of São Paulo, Campus Universitário, 14049-900, São Paulo, Brazil aut Rubens Machado Hélio Division of Pediatric Neurosurgery, Ribeirão Preto School of Medicine, University of São Paulo, Campus Universitário, 14049-900, São Paulo, Brazil aut Child's Nervous System Springer-Verlag 23/1(2007-01-01), 85-90 0256-7040 23:1<85 2007 23 381 https://doi.org/10.1007/s00381-006-0183-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0183-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Santos de Oliveira Ricardo Division of Pediatric Neurosurgery, Ribeirão Preto School of Medicine, University of São Paulo, Campus Universitário, 14049-900, São Paulo, Brazil aut NATIONALLICENCE 700 1- Barbosa Aline Division of Pediatric Surgery, Ribeirão Preto School of Medicine, University of São Paulo, Campus Universitário, 14049-900, São Paulo, Brazil aut NATIONALLICENCE 700 1- Vicente Yvone Division of Pediatric Surgery, Ribeirão Preto School of Medicine, University of São Paulo, Campus Universitário, 14049-900, São Paulo, Brazil aut NATIONALLICENCE 700 1- Rubens Machado Hélio Division of Pediatric Neurosurgery, Ribeirão Preto School of Medicine, University of São Paulo, Campus Universitário, 14049-900, São Paulo, Brazil aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/1(2007-01-01), 85-90 0256-7040 23:1<85 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer