Silicone allergy mimicking shunt infection
- 29 October 2020
- journal article
- research article
- Published by Taylor & Francis Ltd in British Journal of Neurosurgery
- Vol. 37 (5), 1-2
- https://doi.org/10.1080/02688697.2020.1837735
Abstract
The purpose of this case report is to highlight silicone allergy as a rare cause of ventriculo-peritoneal shunt complication, often mimicking infection. Information regarding the patient presented was obtained by review of their medical notes, both paper and electronically. A literature review was performed by searching Pubmed using the following terms; silicone allergy and shunt allergy, to identify similar publications. Nine publications between 1994 and 2019 formed the basis of the literature review. The primary aim was to identify clinical presentations that may help to identify silicone allergy as the cause of shunt complication. Silicone allergy is a rare cause of ventriculo-peritoneal (V-P) shunt failure and can mimic infection. This diagnosis should be consideredwith a predominantly lymphocytic CSF leucocytosis and no bacteriological evidence of a responsible organism, a peripheral eosinophilia and an intense fibrosis around a recently placed V-P shunt, as described in this case report.Keywords
This publication has 11 references indexed in Scilit:
- Ventriculoperitoneal shunt complications: A reviewInterdisciplinary Neurosurgery, 2018
- Clinical peritonitis from allergy to silicone ventriculoperitoneal shuntClinical Journal of Gastroenterology, 2017
- [A case of repeated shunt malfunctions with eosinophilic meningitis caused by silicone allergy].2014
- Distal ventriculoperitoneal shunt failure caused by silicone allergyJournal of Neurosurgery, 2005
- Implanted Ventricular Shunts in the United States: The Billion-dollar-a-year Cost of Hydrocephalus TreatmentNeurosurgery, 2005
- A case of abdominal CSF pseudocyst associated with silicone allergyChild's Nervous System, 2003
- Colonic Perforation by Ventriculoperitoneal Shunt Tubing: A Case of Suspected Silicone AllergySurgical Neurology, 1998
- Silicone allergy in ventriculoperitoneal shuntsChild's Nervous System, 1994
- Antibodies to silicone elastomers and reactions to ventriculoperitoneal shuntsThe Lancet, 1992
- Hypersensitivity reaction associated with sterile ventriculoperitoneal shunt malfunctionSurgical Neurology, 1989