Torkildsen shunt as an option for hydrocephalus associated with optic pathway glioma

Hydrocephalus caused by optic pathway glioma (OPG) is most often treated with a ventriculoperitoneal shunt (VPS), but this treatment may present complications such as ascites. Hence, ventriculocisternal shunt is an option worth considering. This article reports a case in which it was decided to plac...

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Autor principal:	Aldo José F da Silva
Formato:	article
Lenguaje:	EN
Publicado:	Brazilian Society for Pediatric Neurosurgery 2021
Materias:	hydrocephalus glioma ventriculoperitoneal shunt ascites cerebrospinal fluid Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/ca4c368e67f24e48aef67689b2981388
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spelling	oai:doaj.org-article:ca4c368e67f24e48aef67689b29813882021-11-23T21:46:36ZTorkildsen shunt as an option for hydrocephalus associated with optic pathway glioma2675-362610.46900/apn.v3i3(September-December).91https://doaj.org/article/ca4c368e67f24e48aef67689b29813882021-07-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/91https://doaj.org/toc/2675-3626Hydrocephalus caused by optic pathway glioma (OPG) is most often treated with a ventriculoperitoneal shunt (VPS), but this treatment may present complications such as ascites. Hence, ventriculocisternal shunt is an option worth considering. This article reports a case in which it was decided to place a ventriculocisternal or Torkildsen shunt in a patient with hydrocephalus caused by OPG. Case Report: A 12-year-old girl, amaurotic, with a VPS due to hydrocephalus caused by an OPG, reported to the emergency room with abdominal distension and pain and difficulty in walking. Computed tomography of the abdomen was performed, and a large amount of fluid was evidenced in the peritoneal cavity (ascites). Liver and kidney functions were normal. In the surgical procedure, the distal extremity of the ventriculoperitoneal catheter was exposed, and 3 L of ascites fluid of cerebrospinal origin was drained. After 10 days of antibiotic therapy, a ventriculocisternal or Torkildsen shunt was placed. After 4 years of follow-up, the patient has no complaints. Discussion: Arne Torkildsen was the first to perform a ventriculocisternal shunt in 1937; it is indicated in cases of hydrocephalus with obstruction of the aqueduct or third ventricle. In OPG, increased protein levels in CSF and the use of platinum-based chemotherapy agents would explain the development of ascites after VPS placement. In these cases of hydrocephalus with third ventricle tumor infiltrating the hypothalamus, the ventriculocisternal shunt can be used as an option in specific cases.Aldo José F da SilvaBrazilian Society for Pediatric Neurosurgeryarticlehydrocephalusgliomaventriculoperitoneal shuntascitescerebrospinal fluidPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 3, Iss 3(September-December), Pp e912021-e912021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hydrocephalus glioma ventriculoperitoneal shunt ascites cerebrospinal fluid Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	hydrocephalus glioma ventriculoperitoneal shunt ascites cerebrospinal fluid Pediatrics RJ1-570 Surgery RD1-811 Aldo José F da Silva Torkildsen shunt as an option for hydrocephalus associated with optic pathway glioma
description	Hydrocephalus caused by optic pathway glioma (OPG) is most often treated with a ventriculoperitoneal shunt (VPS), but this treatment may present complications such as ascites. Hence, ventriculocisternal shunt is an option worth considering. This article reports a case in which it was decided to place a ventriculocisternal or Torkildsen shunt in a patient with hydrocephalus caused by OPG. Case Report: A 12-year-old girl, amaurotic, with a VPS due to hydrocephalus caused by an OPG, reported to the emergency room with abdominal distension and pain and difficulty in walking. Computed tomography of the abdomen was performed, and a large amount of fluid was evidenced in the peritoneal cavity (ascites). Liver and kidney functions were normal. In the surgical procedure, the distal extremity of the ventriculoperitoneal catheter was exposed, and 3 L of ascites fluid of cerebrospinal origin was drained. After 10 days of antibiotic therapy, a ventriculocisternal or Torkildsen shunt was placed. After 4 years of follow-up, the patient has no complaints. Discussion: Arne Torkildsen was the first to perform a ventriculocisternal shunt in 1937; it is indicated in cases of hydrocephalus with obstruction of the aqueduct or third ventricle. In OPG, increased protein levels in CSF and the use of platinum-based chemotherapy agents would explain the development of ascites after VPS placement. In these cases of hydrocephalus with third ventricle tumor infiltrating the hypothalamus, the ventriculocisternal shunt can be used as an option in specific cases.
format	article
author	Aldo José F da Silva
author_facet	Aldo José F da Silva
author_sort	Aldo José F da Silva
title	Torkildsen shunt as an option for hydrocephalus associated with optic pathway glioma
title_short	Torkildsen shunt as an option for hydrocephalus associated with optic pathway glioma
title_full	Torkildsen shunt as an option for hydrocephalus associated with optic pathway glioma
title_fullStr	Torkildsen shunt as an option for hydrocephalus associated with optic pathway glioma
title_full_unstemmed	Torkildsen shunt as an option for hydrocephalus associated with optic pathway glioma
title_sort	torkildsen shunt as an option for hydrocephalus associated with optic pathway glioma
publisher	Brazilian Society for Pediatric Neurosurgery
publishDate	2021
url	https://doaj.org/article/ca4c368e67f24e48aef67689b2981388
work_keys_str_mv	AT aldojosefdasilva torkildsenshuntasanoptionforhydrocephalusassociatedwithopticpathwayglioma
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Torkildsen shunt as an option for hydrocephalus associated with optic pathway glioma

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