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Medknow Publications, Journal of Pediatric Neurosciences, 3(8), p. 221

DOI: 10.4103/1817-1745.123679

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Failure of peritoneal and gallbladder shunts in a child with craniopharyngioma

Journal article published in 2013 by Julie Woodfield ORCID, Shailendra Magdum
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

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.