CASE REPORT |
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Year : 2013 | Volume
: 8
| Issue : 3 | Page : 221-223 |
Failure of peritoneal and gallbladder shunts in a child with craniopharyngioma
Julie Woodfield, Shailendra Magdum
Department of Neurosurgery, John Radcliffe Hospital, Oxford, United Kingdom
Correspondence Address:
Julie Woodfield Department of Neurosurgery, Ninewells Hospital, Dundee. DD1 9SY United Kingdom
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1817-1745.123679
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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