Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
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Comparative Study
Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries.
The purpose of this study is to evaluate the accuracy of emergency Transcranial Doppler (TCD) to predict intracranial hypertension and abnormal cerebral perfusion pressure in children with severe traumatic brain injury (TBI). ⋯ The high sensitivity of admission TCD to predict ICH and abnormal CPP after trauma demonstrates that TCD is an excellent first-line examination to determine those children who need urgent aggressive treatment and continuous invasive ICP monitoring.
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Comparative Study
The oculomotor nerve: anatomic relationship with the floor of the third ventricle.
Endoscopic third ventriculostomy (ETV) has become first-line treatment for obstructive hydrocephalus. Many complications have been described, but the literature about oculomotor palsy after ETV is scarce. Therefore we undertook an anatomical study of the relationship of the oculomotor nerve to the floor of the third ventricle. ⋯ The third nerve is not always visible during ETV procedures, but the angular and linear measurements imply that the risk to damage the nerve should be relatively small. Confirmation of these data in hydrocephalic patients with distorted anatomy is needed.
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Case Reports
Subarachnoid hemorrhage secondary to ruptured posterior communicating artery aneurysm in a child.
Intracranial arterial aneurysms in children are very rare. The authors present the clinical and neuroradiological findings in a 12-year-old child with subarachnoid and intraventricular hemorrhage related to posterior communicating artery aneurysm. The aneurysm was successfully treated with endovascular coiling. The literature regarding this topic is reviewed and the management of subarachnoid hemorrhage in children is discussed.