PMID- 14999512 OWN - NLM STAT- MEDLINE DCOM- 20050131 LR - 20181113 IS - 0256-7040 (Print) IS - 0256-7040 (Linking) VI - 20 IP - 10 DP - 2004 Oct TI - A case of abdominal CSF pseudocyst associated with silicone allergy. PG - 761-4 AB - CASE REPORT: The authors present a case of a patient with an abdominal CSF pseudocyst that resulted from an allergic reaction to silicone. The patient underwent repair surgery of the meningomyelocele associated with the Chiari II malformation, and the V-P shunt was instituted at 6 months of age. A formation of the abdominal CSF pseudocyst and the consequent shunt malfunction were observed 40 days after the V-P shunt. An increase in the number of the peripheral eosinophils and serum immunoglobulin E (IgE), and an infiltration of eosinophils in the specimen harvested from the pseudocyst wall suggested an allergic reaction as the cause of the pseudocyst. A sixth operation to revise the V-P shunt was performed using the shunt system made of "extracted silicone", which was produced extracting the allergic substances. OUTCOME: The serum IgE was normalized after surgery and the abdominal CSF pseudocyst has not recurred for 22 months. FAU - Hashimoto, Masanori AU - Hashimoto M AD - Department of Neurosurgery, University of Occupational and Environmental Health, Iseigaoka 1-1, 807-8555 Yahata-Nishi, Kitakyushu, Japan. masanori@med.uoeh-u.ac.jp FAU - Yokota, Akira AU - Yokota A FAU - Urasaki, Eiichirou AU - Urasaki E FAU - Tsujigami, Shuhji AU - Tsujigami S FAU - Shimono, Masayuki AU - Shimono M LA - eng PT - Case Reports PT - Journal Article DEP - 20040304 PL - Germany TA - Childs Nerv Syst JT - Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery JID - 8503227 RN - Z4152N8IUI (Silicon) SB - IM CIN - Childs Nerv Syst. 2005 Dec;21(12):1018-9. PMID: 16177932 MH - *Abdomen MH - Cerebrospinal Fluid Shunts/methods MH - Cysts/*chemically induced MH - Eosinophils/metabolism MH - Humans MH - Hydrocephalus/*etiology/surgery MH - Hypersensitivity/*complications MH - Infant MH - Leukocytes/metabolism MH - Male MH - Silicon/*adverse effects MH - Staining and Labeling/methods MH - Tomography, X-Ray Computed/methods EDAT- 2004/03/05 05:00 MHDA- 2005/02/03 09:00 CRDT- 2004/03/05 05:00 PHST- 2003/10/10 00:00 [received] PHST- 2004/03/05 05:00 [pubmed] PHST- 2005/02/03 09:00 [medline] PHST- 2004/03/05 05:00 [entrez] AID - 10.1007/s00381-003-0904-0 [doi] PST - ppublish SO - Childs Nerv Syst. 2004 Oct;20(10):761-4. doi: 10.1007/s00381-003-0904-0. Epub 2004 Mar 4.