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Case Reports
. 2024 Jan 23;2024(1):rjad743.
doi: 10.1093/jscr/rjad743. eCollection 2024 Jan.

Periventricular cyst as a complication of ventriculoperitoneal shunting in the context of intracranial haemorrhage: a case report and review of the literature

Leon E Smith  1 , Brian D Zeman  1
Affiliations
Case Reports

Periventricular cyst as a complication of ventriculoperitoneal shunting in the context of intracranial haemorrhage: a case report and review of the literature

Leon E Smith et al. J Surg Case Rep. .

Abstract

Spontaneous intraventricular haemorrhage with hydrocephalus frequently requires neurosurgical intervention, including ventriculoperitoneal shunting. We describe a periventricular cyst following the placement of a ventriculoperitoneal shunt in a 67-year-old female patient. The patient was admitted for rehabilitation after a spontaneous left basal ganglia and diffuse intraventricular haemorrhage with hydrocephalus. Initial management included an extraventricular drain, followed by a ventriculoperitoneal shunt. On Day 5 of rehabilitation, the patient was urgently reviewed for reduced level of consciousness. A cerebrospinal fluid cyst was identified around the shunt catheter, with subacute haemorrhage within the cyst. The patient underwent a successful shunt revision, with rapid improvement in consciousness and resolution of the cyst. This case highlights the importance of pericatheter cyst as a differential diagnosis in patients with altered neurological status following ventriculoperitoneal shunting. Early detection and surgical revision can lead to rapid resolution of symptoms and a favourable prognosis.

Keywords: hydrocephalus; pericatheter cyst; shunt revision; ventriculoperitoneal shunt.

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Conflict of interest statement

L.S. and B.Z. report no conflict of interests to declare.

Figures

Figure 1
Figure 1
Initial CT revealing acute left-sided intraparenchymal haemorrhage with intraventricular extension and mass effect.
Figure 2
Figure 2
Contrast-enhanced T1-weighted MRI scan showing presence of the intraparenchymal cyst and surrounding vasogenic oedema.
Figure 3
Figure 3
CT scan performed 41 days after shunt revision, showing resolution of the periventricular cyst.
See this image and copyright information in PMC

References

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