Challenges in the Management of Cerebrospinal Fluid Ascites: a Case Report

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2022 Feb 18

PMID 35178597

Authors

Mesi Mathew

Mark C Chikani

Samuel E Okpara

Matthew U Uzoanya

Ndubueze Ezemba

Wilfred C Mezue

Affiliations

Soon will be listed here.

Abstract

Cerebrospinal fluid (CSF) ascites is an uncommon sequela of ventriculo-peritoneal (V-P) shunt. We report a case of CSF ascites in a 7-year-old girl with craniopharyngioma and the challenges and limitations we faced in her management. Ascites completely resolved after a ventriculo-atrial (V-A) shunt surgery. Abdominal paracentesis, diuretics, and ventriculo-pleural shunt were not effective in the management of the CSF ascites.

Citing Articles

Right Transcephalic Ventriculo-Subclavian Shunt in the Surgical Treatment of Hydrocephalus-An Original Procedure for Drainage of Cerebrospinal Fluid into the Venous System.

Litescu M, Cristian D, Coman V, Erchid A, Plesea I, Bordianu A J Clin Med. 2023; 12(15).

PMID: 37568321 PMC: 10419378. DOI: 10.3390/jcm12154919.

References

Chidambaram B, Balasubramaniam V . CSF ascites: a rare complication of ventriculoperitoneal shunt surgery. Neurol India. 2001; 48(4):378-80. View

Li D, Platt J, Shay J, Yarze J . Sterile cerebrospinal fluid ascites presenting as high SAAG ascites: a case report. BMC Gastroenterol. 2019; 19(1):200. PMC: 6882143. DOI: 10.1186/s12876-019-1116-8. View

SHEAR L, Swartz C, SHINABERGER J, BARRY K . KINETICS OF PERITONEAL FLUID ABSORPTION IN ADULT MAN. N Engl J Med. 1965; 272:123-7. DOI: 10.1056/NEJM196501212720303. View

Adegbite A, Khan M . Role of protein content in CSF ascites following ventriculoperitoneal shunting. Case report. J Neurosurg. 1982; 57(3):423-5. DOI: 10.3171/jns.1982.57.3.0423. View

Yount R, Glazier M, Mealey Jr J, KALSBECK J . Cerebrospinal fluid ascites complicating ventriculoperitoneal shunting. Report of four cases. J Neurosurg. 1984; 61(1):180-3. DOI: 10.3171/jns.1984.61.1.0180. View