Woodfield Julie, Magdum Shailendra
Department of Neurosurgery, John Radcliffe Hospital, Oxford, United Kingdom.
J Pediatr Neurosci. 2013 Sep;8(3):221-3. 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.
一名1岁患颅咽管瘤的女孩在活检和囊肿开窗术后需要每小时引流40 - 50毫升脑脊液。她在插入脑室腹腔（VP）分流管后出现脑脊液腹水，在插入脑室胆囊分流管后出现胆囊扩张疼痛。需要将分流管改为脑室心房分流管。这是首次报道颅咽管瘤导致脑脊液生成增加。本文讨论了脑脊液过度生成的潜在机制以及在幼儿中处理大量脑脊液的困难。
