title: Brain metastases as a cause of malignant cerebrospinal fluid ascites: case report and review of the literature.
abstract: The development of cerebrospinal fluid ascites after a ventriculo-peritoneal shunt operation is an extremely rare complication. There have been only sporadic case reports and small series reviews published in regards to this condition. They are usually found in the context of primary brain tumors, usually affecting the pediatric population. We present an unusual case of a patient with known metastatic breast carcinoma to the brain who develops malignant cerebrospinal fluid ascites after a ventriculo-peritoneal shunt insertion. This is the first known adult case of a metastatic breast primary to the brain causing tumor dissemination via a ventriculo-peritoneal shunt.
authors: Department of Neurosurgery, National Neuroscience Institute, 11, Jalan Tan Tock Seng, 308433, Singapore.
authors: Yin Yee Sharon
authors: YY
authors: Low
authors: John
authors: J
authors: Thomas
authors: Wei Keat
authors: WK
authors: Wan
authors: Wai Hoe
authors: WH
authors: Ng
mesh_terms: D001201:Ascites / Q000209:etiology*; D001921:Brain / Q000473:pathology; D001932:Brain Neoplasms / Q000556:secondary* / Q000601:surgery; D001943:Breast Neoplasms / Q000473:pathology; D018270:Carcinoma, Ductal, Breast / Q000473:pathology; D002555:Cerebrospinal Fluid; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009362:Neoplasm Metastasis; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*