Suprasellar cyst after subarachnoid intraventricular hemorrhage and ventriculoperitoneal shunt implantation
https://doi.org/10.17650/1683-3295-2020-22-4-74-82
Abstract
The objective is to describe a rare clinical case of a suprasellar cyst formed after implantation of a ventriculoperitoneal shunt.
Clinical observation. A female patient, 51 years, suffered non-traumatic subarachnoid intraventricular hemorrhage, acute obstructive and subsequently normal pressure hydrocephalus requiring implantation of a ventriculoperitoneal shunt. In several years, the patient developed a suprasellar cyst manifesting through cerebral symptoms.
Results. Two (2) surgeries were performed. During the 1st surgical intervention, endoscopic ventriculostomy was performed with positive outcome (full regression of the symptoms). After 6 months, cyst recurrence was confirmed, and endoscopic ventriculocystocisternostomy with replacement of a low pressure pump with intermediate pressure pump was performed. Full regression of neurological disorders was observed; magnetic resonance imaging did not show cyst recurrence 6 months after the 2 nd surgery.
Conclusion. This clinical observation expands our knowledge on the diversity of mechanisms of suprasellar arachnoid cyst formation and demonstrated effectiveness of one of the techniques for prevention of cyst formation in the context of ventriculoperitoneal shunt.
About the Authors
I. M. Godkov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
V. N. Stepanov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation
Russian Federation
3 Bolshaya Sukharevskaya Sq., Moscow 129090
A. A. Grin
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia
Russian Federation
Russian Federation
3 Bolshaya Sukharevskaya Sq., Moscow 129090; Bld. 1, 20 Delegatskaya St., Moscow 127473
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Review
For citations:
Godkov I.M., Stepanov V.N., Grin A.A. Suprasellar cyst after subarachnoid intraventricular hemorrhage and ventriculoperitoneal shunt implantation. Russian journal of neurosurgery. 2020;22(4):74-82. (In Russ.) https://doi.org/10.17650/1683-3295-2020-22-4-74-82
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