Journal of Korean Neurosurgical Society

대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지

뇌실복강간 단락술 후 발생한 뇌지주막 낭종 - 증 례 보 고 -

Development of an Arachnoid Cyst after Ventriculoperitoneal Shunt Placement - A Case Report -

  • 최광영 (경희대학교 의과대학 신경외과학교실) ;
  • 이봉암 (경희대학교 의과대학 신경외과학교실) ;
  • 임영진 (경희대학교 의과대학 신경외과학교실) ;
  • 김태성 (경희대학교 의과대학 신경외과학교실) ;
  • 김국기 (경희대학교 의과대학 신경외과학교실) ;
  • 임언 (경희대학교 의과대학 신경외과학교실)
  • Choi, Kwang Yeong (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Rhee, Bong Arm (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Lim, Young Jin (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Kim, Tae Sung (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Kim, Gook Ki (Department of Neurosurgery, School of Medicine, Kyung-Hee University) ;
  • Leem, Won (Department of Neurosurgery, School of Medicine, Kyung-Hee University)
  • 투고 : 2001.10.29
  • 심사 : 2001.11.28
  • 발행 : 2001.12.31
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초록

A 4-month-old female patient admitted because of hydrocephalus. She was premature infant with germinal matrix hemorrhage at gestational period 27 wks. A ventriculoperitoneal shunt with a low-pressure type valve was placed. Follow-up CT scan obtained 3 months after VP shunt placement, revealed a new Lt. middle cranial fossa cyst. The girl was readmitted to hospital at 7 months after VP shunt placement, complaining of lethargy and vomiting. A CT scan was demonstrated a increase in size of a cyst, She subsequently underwent a left-sided pterional craniotomy with partial excision of membrane and cyst fenestration into the basal cisterns. Follow-up CT scan after 18 months revealed reaccumulation of cyst, the girl was reoperated on. After 2 months, the size of cyst was not decreased. Finally, She underwent a cystoperitoneal shunt. Follow-up CT scan after 5 months was demonstrated disappeared cyst and reexpansion of brain parenchyma. We report the development of a symptomatic sylvian fissure arachnoid cyst developed after ventriculoperitoneal shunt.

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