title: [A rare complication of shunt therapy. Metastasis of brain tumors by cerebrospinal fluid drainage].
abstract: 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.
authors.affiliation: Institut für Pathologische Anatomie Martin-Luther-Universität Halle-Wittenberg.
authors.forename: K
authors.initials: K
authors.lastname: Oemus
authors.forename: H
authors.initials: H
authors.lastname: Gerlach
authors.forename: F W
authors.initials: FW
authors.lastname: Rath
mesh_terms: 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
vernacular_title: Seltene Komplikation der Shunttherapie. Metastasierung von Hirntumoren durch Liquordrainagen.