[A rare complication of shunt therapy. Metastasis of brain tumors by cerebrospinal fluid drainage].
Shunting of cerebrospinal fluid to extracranial spaces has been a common and effective procedure for symptomatic therapy of hydrocephalus since the fifties. In 1954 the first spreading of tumor cells via a ventriculo-pleural shunt was reported. We are presenting a case of a 10 month old girl with a medulloblastoma of the lower brain stem with spreading of the intracranial tumor through a ventriculoperitoneal shunt. Further 43 cases of the world literature with shunt-associated metastasizing of brain tumors are analysed. The extraneural spreading of tumor cells through shunt tubes must be considered as a possible complication of the shunting procedure.
Oemus
K
K
Institut für Pathologische Anatomie Martin-Luther-Universität Halle-Wittenberg.
Gerlach
H
H
Rath
F W
FW
D002528:Cerebellar Neoplasms / Q000473:pathology / Q000601:surgery*; D002557:Cerebrospinal Fluid Shunts; D005260:Female; D006801:Humans; D007223:Infant; D008527:Medulloblastoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D009366:Neoplasm Seeding; D010534:Peritoneal Neoplasms / Q000473:pathology / Q000556:secondary*; D010537:Peritoneum / Q000473:pathology
Seltene Komplikation der Shunttherapie. Metastasierung von Hirntumoren durch Liquordrainagen.