Buyukyavuz Behcet Ilker, Duman Levent, Karaaslan Tamer, Turedi Aysen
Suleyman Demirel University, Faculty of Medicine, Department of Pediatric Surgery, Isparta, Turkey.
Turk Neurosurg. 2012;22(5):656-8. doi: 10.5137/1019-5149.JTN.3978-10.1.
Placement of ventriculoperitoneal(VP) shunt is a worldwide accepted procedure for treatment of hydrocephalus. This procedure have various intra-abdominal complications, of which pseudocyst formation is a rare one. Common presentations of this complication are abdominal mass, abdominal pain, intestinal obstruction, and shunt dysfunction. In this paper, we report a case of 3 year-old boy with cerebrospinal fluid (CSF) pseudocyst of the VP shunt presenting with hyponatremic seizure. To the best of our knowledge, hyponatremic seizure has not been previously reported as a presentation of abdominal CSF pseudocyst in the literature. Our case has also the largest CSF pseudocyst with respect to body surface area of the child in the literature.
脑室腹腔（VP）分流术是治疗脑积水的一种全球公认的手术。该手术有多种腹腔内并发症，其中假性囊肿形成是一种罕见的并发症。这种并发症的常见表现为腹部肿块、腹痛、肠梗阻和分流功能障碍。在本文中，我们报告了一例3岁男孩，其VP分流术导致脑脊液（CSF）假性囊肿，并伴有低钠血症性癫痫发作。据我们所知，低钠血症性癫痫发作此前在文献中尚未被报道为腹部CSF假性囊肿的一种表现。就患儿体表面积而言，我们的病例也是文献中最大的CSF假性囊肿。
