Failure of peritoneal and gallbladder shunts in a child with craniopharyngioma.
A 1-year-old girl with craniopharyngioma required external drainage of 40-50 mL/h of cerebrospinal fluid (CSF) after biopsy and cyst fenestration. She developed CSF ascites following insertion of a ventriculoperitoneal (VP) shunt and a distended painful gallbladder following ventriculogallbladder shunt insertion. Revision to a ventriculoatrial shunt was required. This is the first time a craniopharyngioma has been reported to cause increased CSF production. The potential mechanisms of CSF overproduction and the difficulties managing the large volume of CSF in a young child are discussed.
Department of Neurosurgery, John Radcliffe Hospital, Oxford, United Kingdom.
Julie
J
Woodfield
Department of Neurosurgery, John Radcliffe Hospital, Oxford, United Kingdom.
Shailendra
S
Magdum
Cerebrospinal fluid; craniopharyngioma; ventriculoatrial shunt; ventriculoperitoneal shunt