Summary
Ten patients with postoperative collection of subcutaneous cerebrospinal fluid (pseudomeningocoele) refractory to nonsurgical treatment underwent lumboperitoneal (LP) shunt. In all patients rapid resolution of the subcutaneous collection was achieved, and no recurrence was observed during the follow-up period. Complications of the LP shunt included transient sciatica in one patient, and acute subdural haematoma after a mild head trauma in another patient who had had a subdural fluid collection. A LP shunt proved to be a less invasive and reliable method of treatment for this condition when it fails to resolve despite aspiration of cerebrospinal fluid combined with mechanical compression of the wound. However, in cases with subdural fluid collection, early withdrawal of the LP shunt may be recommended.
Similar content being viewed by others
References
Aoki N, Mizutani H (1985) Communicating triventricular hydrocephalus and its treatment with a lumboperitoneal shunt. Neurosurgery 16: 557–561
Aoki N (1987) Acute subdural hematoma of arterial origin in a patient with a lumboperitoneal shunt. Neurol Med Chir (Tokyo) 27: 60–62
Bret P, Hor F, Lapras JHC, Fischer G (1985) Treatment of cerebrospinal fluid rhinorrhea by percutaneous lumboperitoneal shunting: Review of 15 cases. Neurosurgery 16: 44–47
Bret P, Huppert J, Massini B, Lapras C, Ficher G (1986) Lumboperitoneal shunt in non-hydrocephalic patients. A review of 41 cases. Acta Neurochir (Wien) 80: 90–92
Greenblatt SH, Wilson DH (1973) Persistent cerebrospinal fluid rhinorrhea treated by lumboperitoneal shunt. Technical note. J Neurosurg 38: 524–526
James HE, Tibbs PA (1981) Diverse clinical applications of percutaneous lumboperitoneal shunts. Neurosurgery 8: 39–42
Kuwana N, Kuwabara T (1984) Lumbar subarachnoid-peritoneal shunt. Follow-up study on 158 cases. Neurol Med Chir (Tokyo) 24: 485–489
Spetzler RF, Wilson CB (1978) Management of recurrent CSF rhinorrhea of middle and posterior fossa. J Neurosurg 49: 393–397
Stern WE (1982) Preoperative evaluation; complications, their prevention and treatment. In: Youmans JR (ed) Neurological surgery, ed 2, Vol 2. Philadelphia, Saunders, pp 1086–1087
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Aoki, N. Lumboperitoneal shunt for the treatment of postoperative persistent collection of subcutaneous cerebrospinal fluid (pseudomeningocoele). Acta neurochir 98, 32–34 (1989). https://doi.org/10.1007/BF01407173
Issue Date:
DOI: https://doi.org/10.1007/BF01407173