Nitin B, Gupta Manish, Singh Anshul
Department of ENT, Maharishi Markandeshwar Institute of Medical Sciences & Research,MMDU, Ambala, India.
Case Rep Otolaryngol. 2021 Apr 30;2021:6656506. doi: 10.1155/2021/6656506. eCollection 2021.
Ventriculoperitoneal shunt is a common neurosurgical procedure, for the definitive management of hydrocephalus. Shunt failures may occur due to various causes but are usually due to infections in adults and catheter occlusion in the paediatric population. . The 13-year-old girl presented with a right lateral neck swelling. In detailed history, she was found to be an old case of ventriculoperitoneal shunt. The clinical examination and radiological investigation revealed proximal dislodgment of the stent from the cranium, causing persistent cerebrospinal fluid (CSF) leak and pseudocyst formation in the neck.
The case highlights CSF pseudocyst formation as a rare differential for lateral neck swellings.
脑室腹腔分流术是一种常见的神经外科手术,用于脑积水的确定性治疗。分流失败可能由多种原因引起,但在成人中通常是由于感染,而在儿童人群中则通常是由于导管堵塞。一名13岁女孩出现右侧颈部肿胀。在详细询问病史时,发现她是一名脑室腹腔分流术的老患者。临床检查和影像学检查显示支架从颅骨近端移位,导致持续的脑脊液漏和颈部假性囊肿形成。
该病例突出了脑脊液假性囊肿形成是颈部肿胀的一种罕见鉴别诊断。