Abstract
A 13-year-old patient presented with massive intra-abdominal metastasis and spontaneous acute tumour lysis syndrome, 17-months after VP shunt placement for metastatic pineal germinoma treated with cranio-spinal-irradiation. Hyperhydration/rasburicase improved renal function, allowing chemotherapy with subsequent surgery. The patient remains event-free 34-months later. Risk of intra-abdominal metastasis from VP shunts is discussed.
Acknowledgement
Mr Conor Mallucci, one of the manuscript authors, is Deputy Editor of the British Journal of Neurosurgery.
Declaration of interest:
The authors report no conflicts of interest. Mr Conor Mallucci, one of the manuscript authors, is Deputy Editor of the British Journal of Neurosurgery; however, the manuscript underwent full independent, external peer review. The authors alone are responsible for the content and writing of the paper.