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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La infecci&#243;n es una complicaci&#243;n habitual de las v&#225;lvulas de derivaci&#243;n ventriculoperitoneal&#44; pero la formaci&#243;n de un absceso cerebral es una complicaci&#243;n muy rara&#46; Presentamos el caso de una paciente que desarroll&#243; absceso cerebral alrededor del cat&#233;ter ventricular de una v&#225;lvula que hab&#237;a sido retirada por infecci&#243;n un a&#241;o antes&#46;</p> <span class="elsevierStyleSectionTitle">Caso cl&#237;nico</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Mujer de 38 a&#241;os&#44; sometida a derivaci&#243;n ventriculoperitoneal por hidrocefalia secundaria a neurinoma del ac&#250;stico&#44; que a lo largo de un periodo de trece a&#241;os desarroll&#243; dos episodios de meningitis&#44; por lo que se procedi&#243; a la retirada del sistema&#44; dejando el cat&#233;ter ventricular que parec&#237;a estar adherido al plexo coroideo&#46; Un a&#241;o m&#225;s tarde la paciente desarroll&#243; un absceso cerebral alrededor del cat&#233;ter&#46; Se procedi&#243; a evacuar el absceso y a extraer el cat&#233;ter&#46; El germen cultivado fue un Proteus mirabilis&#46;</p> <span class="elsevierStyleSectionTitle">Discusi&#243;n</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El riesgo inherente a la retirada de un cat&#233;ter ventricular adherido al plexo coroideo debe contrapesarse con el riesgo de infecci&#243;n secundario a la permanencia del mismo&#46;</p>"
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Absceso cerebral tardío como complicación de una derivación ventrículo-peritoneal
Delayed brain abscess as a complication of a CSF shunt
I. Arrese
, A.P. Núñez, J.J. Rivas, R.D. Lobato
Servicio de Neurocirugía. Hospital 12 de Octubre. Madrid

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