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Sonographically Guided Aspiration of Cerebrospinal Fluid Pseudocysts in Children and Adolescents

Brian D. Coley1, William E. Shiels, II1, Scott Elton2, James W. Murakami1 and Mark J. Hogan1

1 Department of Radiology, Children's Radiological Institute, Columbus Children's Hospital, 700 Children's Dr., Columbus, OH 43205.
2 Department of Neurosurgery, Columbus Children's Hospital, Columbus, OH 43205.



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  		Fig. 1A. —19-year-old male adolescent with myelomeningocele and abdominal pain. CT scan of abdomen shows large fluid-density mass surrounding ventriculoperitoneal shunt (arrowhead), indicating cerebrospinal fluid pseudocyst. Collection shows no internal septations, wall thickening, or enhancement.

 


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  		Fig. 2. —17-year-old girl with posthemorrhagic hydrocephalus and abdominal pain. CT scan of abdomen shows cerebrospinal fluid pseudocyst. Arrow indicates shunt catheter. Note thickened and enhancing wall (arrowheads) in patient with history of fungal infection.

 


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  		Fig. 1B. —19-year-old male adolescent with myelomeningocele and abdominal pain. Sonogram shows large cerebrospinal fluid pseudocyst with associated ventriculoperitoneal shunt (arrow).

 


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  		Fig. 1C. —19-year-old male adolescent with myelomeningocele and abdominal pain. Sonogram obtained during pseudocyst aspiration shows sonographically guided placement of Yueh centesis catheter (Cook). Note echogenic side holes (arrowheads) in catheter.

 


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  		Fig. 1D. —19-year-old male adolescent with myelomeningocele and abdominal pain. Sonogram obtained after aspiration shows no appreciable residual pseudocyst fluid. Arrow indicates shunt, and arrowheads indicate drainage catheter.

 

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