A porencephalic cyst formation in a 6-year-old female with a functioning ventriculoperitoneal shunt: a case-based review

Park, Hyun Joo; Lee, Sang Hyun; Park, Hyeon Jin; Shin, Sang-Hoon

doi:10.1007/s00381-018-3725-x

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Furthermore, only reports with adequate clinical and imaging descriptions were included in the study [ Table 1 ]. [ 9 , 11 - 13 , 15 , 17 - 20 , 22 , 23 , 25 , 26 ] IPC formation probably results from a weakening of ependymal cells, which, associated with VPS malfunction, cause increased CSF pressure and subsequent parenchymal collection. [ 21 ] Then, depending on the degree of the pericatheter gliosis, a cyst can be formed, sometimes associated with vasogenic edema.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Intraparenchymal pericatheter cyst as an indicator of ventriculoperitoneal shunt malfunction: A case-based update

Oliveira¹,

Cavalcante-Neto²,

Matos³

et al. 2022

Surgical Neurology International

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Background: Intraparenchymal pericatheter cysts (IPCs) are a rare ventriculoperitoneal shunt (VPS) complication, with only a few cases recorded in the literature. Case Description: We report a 22-year-old woman admitted with headache, papilledema, vision loss, and a history of leukemia. Lumbar puncture revealed idiopathic intracranial hypertension (IIH). Three months after VPS implantation, she was readmitted with headache and worsening of visual impairment. CT evidenced a IPC with perilesional edema. Intraoperatively, a shunt revision and cyst drainage were opted for. We present a discussion and literature review on this unique complication of VPS, with emphasis on management. Conclusion: It is important to understand and consider IPCs as complications of VPS surgery, including in adult patients and IIH cases.

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

Intraparenchymal pericatheter cyst as an indicator of ventriculoperitoneal shunt malfunction: A case-based update

Oliveira¹,

Cavalcante-Neto²,

Matos³

et al. 2022

Surgical Neurology International

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“…[ 13 ] With MRI as with computed tomography, the cysts appear well defined and often correspond to a vascular territory. [ 14 ] Importantly the cysts are not lined by grey matter, helpful in distinguishing them from arachnoid cysts and schizencephaly. Typically the cysts are seen to communicate with the ventricles and/or the subarachnoid space.…”

Section: Discussionmentioning

confidence: 99%

Porencephaly in an Italian neonate with foetal alcohol spectrum disorder

et al. 2020

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Introduction: Foetal alcohol spectrum disorder (FASD) is a complex malformative disease caused by the teratogenic effect of alcohol consumed during pregnancy. Mothers are frequently reluctant to admit alcohol consumption during pregnancy. During infancy and particularly during neonatal period, differential diagnosis is difficult. Patient concerns: This case is represented by an Italian neonate boy small for gestational age, born by caesarean section at a gestational age of 37 weeks + 6 days by neglect and single-parent pregnancy. On physical examination, he presented particular facial features: microcephaly, epicanthal folds, flat midface, low nasal bridge, indistinct philtrum, and thin upper lip; moreover, examination revealed a macro-penis and recurvation without evidence of glans. Diagnosis: Echocardiogram showed an inter-ventricular defect of medium-muscular type and brain magnetic resonance imaging showed asymmetry of the cerebral hemispheres with hypoplasia of the left cerebral hemisphere, dilatation of the left ventricle, cerebrospinal fluid cavity, and porencephaly. Interventions: We investigated the ethylglucuronide (EtG) concentration in the neonate's hair by liquid chromatography-tandem mass spectrometry and we detected EtG in the infant's hair (normal value, 30 pg/mg), demonstrating prenatal alcohol exposure. Outcomes: In this neonate, EtG measure in hairs permitted the diagnosis of FASD, so allowing to exclude genetic diseases associated with similar clinical findings. After this result the mother admitted that she drunk alcohol during pregnancy (she declared 3 glasses of wine every day). At the age of 6 months, the child showed a moderate neurodevelopmental delay. Conclusion: This case shows that FAD should be considered in neonates with rare neurological diseases as porencephaly. In neonates and infants born to a mother who did not report alcohol use, EtG measure in hairs can significantly improve diagnosis of FASD, so allowing to exclude genetic diseases associated with similar clinical findings.

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“…In the first case, cerebral palsy or convulsions, mental retardation, and learning difficulties are observed, while in the second case, the mass effect occurs with increased intracranial pressure or focal deficits attributable to localization in the involved lobe. 5,12,13 In this case, epilepsy, visual, speech, and hearing impairment, rhinorrhea, or otorrhea of the cerebrospinal fluid 4 typically occur and, last but not least, may be also observed psychiatric disorders (schizophrenia, psychosis). 14 F o r t h e d i a g n o s i s o f p o r e n c e p h a l y , t h e electroencephalogram may help but the findings are not specific, and radiological techniques are necessary.…”

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confidence: 99%

Porencephalic cyst in adult

Tambuzzi¹,

Gentile²,

Zoja³

2022

Autops Case Rep

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A porencephalic cyst formation in a 6-year-old female with a functioning ventriculoperitoneal shunt: a case-based review

Abstract: A heightened index of suspicion is required to prevent misdiagnosis of porencephalic cysts astumors or abscesses that may lead to unnecessary surgical explorations. Further research is needed toelucidate the pathophysiological mechanism that causes a porencephalic cyst formation.

Cited by 5 publications

References 12 publications

Intraparenchymal pericatheter cyst as an indicator of ventriculoperitoneal shunt malfunction: A case-based update

Intraparenchymal pericatheter cyst as an indicator of ventriculoperitoneal shunt malfunction: A case-based update

Porencephaly in an Italian neonate with foetal alcohol spectrum disorder

Porencephalic cyst in adult

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