Turkish Neurosurgery 2012 , Vol 22 , Num 5
Hyponatremic Seizure Due to Huge Abdominal Cerebrospinal Fluid Pseudocsyt in a Child with Ventriculoperitoneal Shunt: A Case Report
Behcet Ilker BUYUKYAVUZ1, Levent DUMAN1, Tamer KARAASLAN2, Aysen TUREDI3
1Suleyman Demirel University, Faculty of Medicine, Department of Pediatric Surgery, Isparta, Turkey
2Suleyman Demirel University, Faculty of Medicine, Department of Neurosurgery, Isparta, Turkey
3Dr. Behcet Uz Children Hospital, Department of Pediatrics, Izmir, Turkey
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. Keywords : Children, Hyponatremia, Seizure, Pseudocyst, Ventriculoperitoneal shunt
Corresponding author : Levent Duman, leduman@gmail.com