Ascites following ventriculoperitoneal shunting in children with chiasmatic-hypothalamic glioma
Optic pathway gliomas in children can involve the optic nerve, chiasm, and hypothalamus. This uncommon, slowly growing tumor can cause hydrocephalus, which usually requires placement of a ventriculoperitoneal (VP) shunt. Symptomatic ascites may occasionally develop as a complication of the VP shunt...
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| Veröffentlicht in: | Child's nervous system 2001-06, Vol.17 (7), p.395-398 |
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| creator | GIL, Ziv BENI-ADANI, Liana SIOMIN, Vitali NAGAR, Hagith DVIR, Rina CONSTANTINI, Shlomo |
| description | Optic pathway gliomas in children can involve the optic nerve, chiasm, and hypothalamus. This uncommon, slowly growing tumor can cause hydrocephalus, which usually requires placement of a ventriculoperitoneal (VP) shunt. Symptomatic ascites may occasionally develop as a complication of the VP shunt procedure. The purpose of this study was to assess the risk factors associated with CSF ascites in children with optic pathway gliomas.
Twenty-two children (ages 4 months to 20 years) with chiasmatic-hypothalamic optic gliomas participated in this study. Four children were diagnosed with a chiasmatic glioma, 7 with a hypothalamic glioma, and 11 with a glioma involving both the optic chiasm and hypothalamus. Twelve children (55%) developed hydrocephalus and required VP shunt placement. Of the 12 shunted children, 4 (33%) developed CSF ascites. The incidence of ascites was not associated with infection, tumor metastasis, or multiple shunt revisions. There was no correlation with the size of the tumor. All 4 children with ascites had tumor involving the optic chiasm or optic nerve. None of the 5 children with pure hypothalamic glioma who underwent VP shunt placement have developed ascites. Among the 7 children suffering from chiasmatic or optic nerve gliomas who developed hydrocephalus, the risk of developing ascites as a complication of VP shunt placement was 57% (4/7). Ventriculoatrial (VA) shunt was the treatment of choice for children with VP shunt-induced ascites. After placement of a VA shunt the ascites subsided. The children did not develop further complications.
We conclude that glioma involving the optic chiasm or nerve is associated with a high risk of developing ascites following VP shunt placement. VA shunt may be the treatment of choice for children with chiasmatic or optic nerve gliomas who require a CSF diversion procedure. |
| doi_str_mv | 10.1007/s003810100460 |
| format | Article |
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Twenty-two children (ages 4 months to 20 years) with chiasmatic-hypothalamic optic gliomas participated in this study. Four children were diagnosed with a chiasmatic glioma, 7 with a hypothalamic glioma, and 11 with a glioma involving both the optic chiasm and hypothalamus. Twelve children (55%) developed hydrocephalus and required VP shunt placement. Of the 12 shunted children, 4 (33%) developed CSF ascites. The incidence of ascites was not associated with infection, tumor metastasis, or multiple shunt revisions. There was no correlation with the size of the tumor. All 4 children with ascites had tumor involving the optic chiasm or optic nerve. None of the 5 children with pure hypothalamic glioma who underwent VP shunt placement have developed ascites. Among the 7 children suffering from chiasmatic or optic nerve gliomas who developed hydrocephalus, the risk of developing ascites as a complication of VP shunt placement was 57% (4/7). Ventriculoatrial (VA) shunt was the treatment of choice for children with VP shunt-induced ascites. After placement of a VA shunt the ascites subsided. The children did not develop further complications.
We conclude that glioma involving the optic chiasm or nerve is associated with a high risk of developing ascites following VP shunt placement. VA shunt may be the treatment of choice for children with chiasmatic or optic nerve gliomas who require a CSF diversion procedure.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s003810100460</identifier><identifier>PMID: 11465792</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adolescent ; Adult ; Ascites - etiology ; Ascites - surgery ; Biological and medical sciences ; Brain Neoplasms - complications ; Brain Neoplasms - pathology ; Child ; Child, Preschool ; Female ; Glioma - complications ; Glioma - pathology ; Humans ; Hydrocephalus - etiology ; Hydrocephalus - surgery ; Hypothalamus - pathology ; Infant ; Male ; Medical sciences ; Neurology ; Neurosurgical Procedures - methods ; Optic Chiasm - pathology ; Tropical medicine ; Tumors of the nervous system. Phacomatoses ; Ventriculoperitoneal Shunt - adverse effects</subject><ispartof>Child's nervous system, 2001-06, Vol.17 (7), p.395-398</ispartof><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c317t-23c3965582e0c28c865561a01bc7c71ca55a3bdba1a5840bcfda37d0d1c6a61a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=999756$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11465792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GIL, Ziv</creatorcontrib><creatorcontrib>BENI-ADANI, Liana</creatorcontrib><creatorcontrib>SIOMIN, Vitali</creatorcontrib><creatorcontrib>NAGAR, Hagith</creatorcontrib><creatorcontrib>DVIR, Rina</creatorcontrib><creatorcontrib>CONSTANTINI, Shlomo</creatorcontrib><title>Ascites following ventriculoperitoneal shunting in children with chiasmatic-hypothalamic glioma</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><description>Optic pathway gliomas in children can involve the optic nerve, chiasm, and hypothalamus. This uncommon, slowly growing tumor can cause hydrocephalus, which usually requires placement of a ventriculoperitoneal (VP) shunt. Symptomatic ascites may occasionally develop as a complication of the VP shunt procedure. The purpose of this study was to assess the risk factors associated with CSF ascites in children with optic pathway gliomas.
Twenty-two children (ages 4 months to 20 years) with chiasmatic-hypothalamic optic gliomas participated in this study. Four children were diagnosed with a chiasmatic glioma, 7 with a hypothalamic glioma, and 11 with a glioma involving both the optic chiasm and hypothalamus. Twelve children (55%) developed hydrocephalus and required VP shunt placement. Of the 12 shunted children, 4 (33%) developed CSF ascites. The incidence of ascites was not associated with infection, tumor metastasis, or multiple shunt revisions. There was no correlation with the size of the tumor. All 4 children with ascites had tumor involving the optic chiasm or optic nerve. None of the 5 children with pure hypothalamic glioma who underwent VP shunt placement have developed ascites. Among the 7 children suffering from chiasmatic or optic nerve gliomas who developed hydrocephalus, the risk of developing ascites as a complication of VP shunt placement was 57% (4/7). Ventriculoatrial (VA) shunt was the treatment of choice for children with VP shunt-induced ascites. After placement of a VA shunt the ascites subsided. The children did not develop further complications.
We conclude that glioma involving the optic chiasm or nerve is associated with a high risk of developing ascites following VP shunt placement. VA shunt may be the treatment of choice for children with chiasmatic or optic nerve gliomas who require a CSF diversion procedure.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Ascites - etiology</subject><subject>Ascites - surgery</subject><subject>Biological and medical sciences</subject><subject>Brain Neoplasms - complications</subject><subject>Brain Neoplasms - pathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Glioma - complications</subject><subject>Glioma - pathology</subject><subject>Humans</subject><subject>Hydrocephalus - etiology</subject><subject>Hydrocephalus - surgery</subject><subject>Hypothalamus - pathology</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Neurosurgical Procedures - methods</subject><subject>Optic Chiasm - pathology</subject><subject>Tropical medicine</subject><subject>Tumors of the nervous system. Phacomatoses</subject><subject>Ventriculoperitoneal Shunt - adverse effects</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkE1LxDAQhoMoun4cvUpB8FadNE3THkX8ggUvei7TabqNpM2apIr_3i67KJ7mHebhZXgYO-dwzQHUTQAQJYc55wXssQXPhUhBSNhnC8hkkSrI4Ygdh_AOwGWZVYfsiPO8kKrKFqy-DWSiDknnrHVfZlwln3qM3tBk3Vp7E92o0Sahn8a4uZoxod7Y1usx-TKx32wYBoyG0v577WKPFgdDycoaN-ApO-jQBn22myfs7eH-9e4pXb48Pt_dLlMSXMU0EySqQs7vaaCspHLOBUfgDSlSnFBKFE3bIEdZ5tBQ16JQLbScCpxBccKutr1r7z4mHWI9mEDaWhy1m0KtZkWqyvkMpluQvAvB665eezOg_6451Buj9T-jM3-xK56aQbd_9E7hDFzuAAyEtvM4kgm_XFVVShbiB8jrf1Y</recordid><startdate>20010601</startdate><enddate>20010601</enddate><creator>GIL, Ziv</creator><creator>BENI-ADANI, Liana</creator><creator>SIOMIN, Vitali</creator><creator>NAGAR, Hagith</creator><creator>DVIR, Rina</creator><creator>CONSTANTINI, Shlomo</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010601</creationdate><title>Ascites following ventriculoperitoneal shunting in children with chiasmatic-hypothalamic glioma</title><author>GIL, Ziv ; BENI-ADANI, Liana ; SIOMIN, Vitali ; NAGAR, Hagith ; DVIR, Rina ; CONSTANTINI, Shlomo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c317t-23c3965582e0c28c865561a01bc7c71ca55a3bdba1a5840bcfda37d0d1c6a61a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Ascites - etiology</topic><topic>Ascites - surgery</topic><topic>Biological and medical sciences</topic><topic>Brain Neoplasms - complications</topic><topic>Brain Neoplasms - pathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Glioma - complications</topic><topic>Glioma - pathology</topic><topic>Humans</topic><topic>Hydrocephalus - etiology</topic><topic>Hydrocephalus - surgery</topic><topic>Hypothalamus - pathology</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Neurosurgical Procedures - methods</topic><topic>Optic Chiasm - pathology</topic><topic>Tropical medicine</topic><topic>Tumors of the nervous system. Phacomatoses</topic><topic>Ventriculoperitoneal Shunt - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GIL, Ziv</creatorcontrib><creatorcontrib>BENI-ADANI, Liana</creatorcontrib><creatorcontrib>SIOMIN, Vitali</creatorcontrib><creatorcontrib>NAGAR, Hagith</creatorcontrib><creatorcontrib>DVIR, Rina</creatorcontrib><creatorcontrib>CONSTANTINI, Shlomo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GIL, Ziv</au><au>BENI-ADANI, Liana</au><au>SIOMIN, Vitali</au><au>NAGAR, Hagith</au><au>DVIR, Rina</au><au>CONSTANTINI, Shlomo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ascites following ventriculoperitoneal shunting in children with chiasmatic-hypothalamic glioma</atitle><jtitle>Child's nervous system</jtitle><addtitle>Childs Nerv Syst</addtitle><date>2001-06-01</date><risdate>2001</risdate><volume>17</volume><issue>7</issue><spage>395</spage><epage>398</epage><pages>395-398</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>Optic pathway gliomas in children can involve the optic nerve, chiasm, and hypothalamus. This uncommon, slowly growing tumor can cause hydrocephalus, which usually requires placement of a ventriculoperitoneal (VP) shunt. Symptomatic ascites may occasionally develop as a complication of the VP shunt procedure. The purpose of this study was to assess the risk factors associated with CSF ascites in children with optic pathway gliomas.
Twenty-two children (ages 4 months to 20 years) with chiasmatic-hypothalamic optic gliomas participated in this study. Four children were diagnosed with a chiasmatic glioma, 7 with a hypothalamic glioma, and 11 with a glioma involving both the optic chiasm and hypothalamus. Twelve children (55%) developed hydrocephalus and required VP shunt placement. Of the 12 shunted children, 4 (33%) developed CSF ascites. The incidence of ascites was not associated with infection, tumor metastasis, or multiple shunt revisions. There was no correlation with the size of the tumor. All 4 children with ascites had tumor involving the optic chiasm or optic nerve. None of the 5 children with pure hypothalamic glioma who underwent VP shunt placement have developed ascites. Among the 7 children suffering from chiasmatic or optic nerve gliomas who developed hydrocephalus, the risk of developing ascites as a complication of VP shunt placement was 57% (4/7). Ventriculoatrial (VA) shunt was the treatment of choice for children with VP shunt-induced ascites. After placement of a VA shunt the ascites subsided. The children did not develop further complications.
We conclude that glioma involving the optic chiasm or nerve is associated with a high risk of developing ascites following VP shunt placement. VA shunt may be the treatment of choice for children with chiasmatic or optic nerve gliomas who require a CSF diversion procedure.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>11465792</pmid><doi>10.1007/s003810100460</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Ascites - etiology Ascites - surgery Biological and medical sciences Brain Neoplasms - complications Brain Neoplasms - pathology Child Child, Preschool Female Glioma - complications Glioma - pathology Humans Hydrocephalus - etiology Hydrocephalus - surgery Hypothalamus - pathology Infant Male Medical sciences Neurology Neurosurgical Procedures - methods Optic Chiasm - pathology Tropical medicine Tumors of the nervous system. Phacomatoses Ventriculoperitoneal Shunt - adverse effects |
| title | Ascites following ventriculoperitoneal shunting in children with chiasmatic-hypothalamic glioma |
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