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 CASE REPORT
Year : 2013  |  Volume : 8  |  Issue : 3  |  Page : 221-223

Failure of peritoneal and gallbladder shunts in a child with craniopharyngioma


Department of Neurosurgery, John Radcliffe Hospital, Oxford, United Kingdom

Correspondence Address:
Julie Woodfield
Department of Neurosurgery, Ninewells Hospital, Dundee. DD1 9SY
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1817-1745.123679

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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.






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