Pediatric neurosurgery
-
Pediatric neurosurgery · Jan 2008
Case ReportsTransoral protrusion of a peritoneal catheter: a rare complication of ventriculoperitoneal shunt.
Ventriculoperitoneal (VP) shunt surgery is the most used technique for the treatment of hydrocephalus. This procedure is associated with a large amount of complications. Bowel perforation caused by a peritoneal shunt catheter is one of these complications, sometimes fatal, and is usually difficult to recognize, except when protrusion of the peritoneal catheter through a natural orifice occurs. ⋯ The evolution was fatal in 15 days secondary to a bacterial ventriculitis. Through the reported cases of bowel perforation, many risk factors were individualized, such as age, congenital etiology of the hydrocephalus, silicon allergy or the length of the peritoneal catheter. Bowel perforation is a serious complication of VP shunt surgery, leading sometimes to a fatal outcome.
-
Pediatric neurosurgery · Jan 2008
Review Case ReportsIntracerebral atypical presentation of echinococcosis in a child.
-
Pediatric neurosurgery · Jan 2008
Case ReportsChiasmal cavernoma: a rare cause of acute visual loss improved by prompt surgery.
We report a 16-year-old healthy boy who presented with sudden loss of vision in both eyes, accompanied by a mild headache. Magnetic resonance imaging showed a chiasmal apoplexy. ⋯ There was a subsequent dramatic improvement in bilateral visual acuity and visual field defects. This case report emphasizes the importance of rapid diagnosis and surgery of an anterior visual pathway cavernous malformation.
-
Pediatric neurosurgery · Jan 2008
Case ReportsRuptured middle cerebral artery aneurysm in an infant presenting as acute subdural hematoma: a case report.
We present an unusual case of ruptured infantile cerebral aneurysm. An eight-month-old infant was delivered to the hospital in poor condition, after convulsions, with no history of trauma. His emergent CT study revealed acute subdural hematoma. ⋯ The infant was operated with special preparations and precautions appropriate for aneurysmal surgery, and has shown a good recovery. It is important to consider the possibility of vascular accident in infants with subdural hematoma of nontraumatic origin. A good outcome may be achieved when appropriate preparations are made prior to surgery.