{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:02:29Z","timestamp":1745744549325},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,8,24]],"date-time":"2011-08-24T00:00:00Z","timestamp":1314144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2012,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pleural effusion is a rare complication of ventriculoperitoneal (VP) shunting, usually due to the migration of the VP shunt catheter into the thorax. Herein we report a neurologically disadvantaged child with alobar holoprosencephaly and hydrocephalus, initially treated with a VP shunt, who years later developed recurrent right\u2010sided pleural effusion ultimately confirmed to be a cerebrospinal fluid (CSF) hydrothorax without intra\u2010thoracic migration of the distal shunt catheter. Thoracentesis was compatible with a transudative effusion. Given the presence of a persistent pleural effusion, beta\u20102 transferrin concentrations were measured, which yielded a positive result. Plain radiographs and head computed tomography (CT) showed a normally positioned, functional VP shunt. A spine CT myelogram to look for a spinal dural\u2010thoracic CSF fistula was negative. A radionuclide CSF shunt study demonstrated normal functioning VP shunt with radiotracer accumulation within the peritoneum, with subsequent tracer rapidly accumulating in the right hemithorax. Video\u2010assisted thoracoscopic (VATS) exploration with drainage of the pleural effusion and pleurodesis was then performed. No diaphragmatic defect or shunt tubing within the thorax was found and the procedure failed to resolve the effusion. The patient's recurrent effusion was ultimately resolved with intracranial endoscopic choroid plexus coagulation to decrease CSF output. Pediatr Pulmonol. 2012; 47:91\u201395. \u00a9 2010 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ppul.21510","type":"journal-article","created":{"date-parts":[[2011,9,1]],"date-time":"2011-09-01T00:16:59Z","timestamp":1314836219000},"page":"91-95","source":"Crossref","is-referenced-by-count":12,"title":["Recurrent pleural effusion without intrathoracic migration of ventriculoperitoneal shunt catheter: A case report"],"prefix":"10.1002","volume":"47","author":[{"given":"Piyaporn","family":"Chuen\u2010im","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew D.","family":"Smyth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley","family":"Segura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Ferkol","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Rivera\u2010Spoljaric","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,24]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199401000-00028"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0090-3019(95)80059-P"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/02699050410001671793"},{"key":"e_1_2_5_5_2","first-page":"341","article-title":"Beta\u20102 transferrin assay in clinical management of cerebral spinal fluid and perilymphatic fluid leaks","volume":"22","author":"Skedros DG","year":"1993","journal-title":"J Otolaryngol"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.10.1178"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003810100504"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-005-1164-y"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-3-6495"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1998.88.3.0594"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003810050084"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1478-3231.2004.0936.x"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gcb.2008.04.032"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2004.08.001"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1980.01380090091022"},{"key":"e_1_2_5_16_2","first-page":"315","article-title":"Hydrothorax without ascites in liver cirrhosis","volume":"12","author":"Pop CM","year":"2003","journal-title":"Rom J Gastroenterol"},{"key":"e_1_2_5_17_2","first-page":"297","volume-title":"Handbook of neurosurgery","author":"Greenberg M","year":"2010"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fppul.21510","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.21510","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T16:48:58Z","timestamp":1700585338000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.21510"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,24]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,1]]}},"alternative-id":["10.1002\/ppul.21510"],"URL":"https:\/\/doi.org\/10.1002\/ppul.21510","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,8,24]]}}}