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An Unusual Case of Cerebrospinal Fluid Pseudocyst in a Previously Augmented Breast

Spector, Jason A. MD*; Culliford, Alfred T. MD*; Post, Nicholas H. MD; Weiner, Howard MD; Levine, Jamie P. MD*

doi: 10.1097/01.sap.0000129210.12751.c0
Case Report
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Cerebrospinal fluid (CSF) drainage catheters can cause a myriad of complications, in large part because they may migrate from their normal location to almost anywhere in the body. We present the unique case of a female patient who had previously undergone bilateral breast augmentation who experienced sudden painless swelling of her right breast 6 weeks after placement of a ventriculoperitoneal shunt. Radiologic examination demonstrated ensnarement of the distal aspect of the shunt around her implant, with subsequent formation of a CSF pseudocyst. Management of this patient included replacement of the shunt, drainage of the CSF pseudocyst, and preservation of the implant.

From the *Division of Plastic Surgery, New York University School of Medicine, New York, NY 10016, and †Department of Neurosurgery, New York University School of Medicine, New York, NY 10016.

Received January 16, 2004; accepted for publication February 2, 2004.

Reprints: Jason A. Spector, MD, New York University Medical Center, 550 1st Ave, H-169, New York, NY 10016. E-mail: Jason.spector@med.nyu.edu

© 2005 Lippincott Williams & Wilkins, Inc.