与顺行有关的脑肿瘤:罕见并发症病例报告和文献综述

IF 0.7 Q4 CLINICAL NEUROLOGY Egyptian journal of neurosurgery Pub Date : 2024-07-17 DOI:10.1186/s41984-024-00313-5
Michael Zohney, Mohamed M Aziz, Shebl Izz-alarab, Ahmed A Algredly, Abdelaleem Abdelwahab
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引用次数: 0

摘要

先天性脑积水是众所周知的小儿神经外科疾病。脑室腹腔分流术(VPS)是一种标准手术,术后第一年的并发症发生率很高。我们介绍了一种非常罕见的并发症,在可查阅的文献中仅有几例报道,即肿瘤与分流导管相关。病例报告。我们描述了一例为 11 个月大的男孩植入 VPS 的病例,该男孩在 13 岁时因与分流导管相关的皮质肿块引起了两个月的抽搐。手术切除肿块后发现了非典型脑膜瘤(世卫组织 2 级)。肿瘤可能是由分流导管直接刺激引起的,也可能只是该患儿同时发生的不幸事件。需要进行进一步分析,以确定哪些因素可能导致这种并发症,并预测其在未来患者中的发生率。在这个病例中,病理特征、病程和不寻常的放射学发现都非常有趣和独特。
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Shunt-related brain tumor, a case report presenting a rare complication and review of literature
Congenital hydrocephalus is a well-known neurosurgical condition in the pediatric age group. Ventriculoperitoneal shunt (VPS) placement is a standard procedure with a high incidence of complications in the first year postoperatively. We present a very rare complication, with only a few reported cases in the accessible literature, in which a tumor arises in relation to a shunt catheter. A case report. We describe a case of a VPS placement in an eleven-month-old boy who, at the age of thirteen, presented with a two-month period of convulsions caused by a cortical mass related to the shunt catheter. Surgical excision of the mass revealed atypical meningioma (WHO Grade 2). The tumor may have been initiated by direct irritation of the shunt catheter or just an unfortunate simultaneous event for this child. Further analysis is needed to determine which factors could have led to such a complication and to predict its occurrence in future patients. In this case, the pathologic features, duration, and unusual radiologic findings are interesting and unique.
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