Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
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Pediatric aneuryms are rare and have characteristics that distinguish them from their adult counterparts. There is a greater capacity for pediatric aneurysms to arise de novo and progress rapidly. ⋯ The need for continued follow-up cannot be overstated for this patient group, therefore, nor can the collaborative efforts of both surgeons and interventionalists to design the most appropriate treatment approach.
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Review Case Reports
Mesencephalic enlarged Virchow-Robin spaces in a 6-year-old boy: a case-based update.
Perivascular spaces or Virchow-Robin spaces are normal anatomical structures within the brain, typically less than 5 mm in diameter. Rarely, they can reach much larger sizes and adopt bizarre single or multi-cystic configurations, as was the case in the patient that we report on. When there is such markedly gross dilatation, the phenomenon is known as Giant or tumefactive perivascular space enlargement. ⋯ In this paper, we discuss the phenomenon of perivascular (Virchow-Robin) spaces and their treatment options and review the relevant literature. To our knowledge, this is the first pediatric case of tumefactive dilatation of the Virchow-Robin spaces causing obstructive hydrocephalus that were directly fenestrated using neuroendoscopy.
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Several case reports have presented various neurological complications caused by lightning. However, there was no report related to cerebral salt wasting caused by lightning injury. We described a patient with lightning strike, who was subsequently diagnosed with cerebral salt wasting.
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To assess the correlation between the position of the intrathecal baclofen therapy catheter with the clinical outcome and response to the spasticity. ⋯ In our series, there was no statistically significant correlation between the position of the intrathecal catheter and the clinical response to the spasticity.
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The objectives were to study the short and longitudinal changes in the cognitive skills of children with intractable epilepsy after hemispheric/sub-hemispheric epilepsy surgery. ⋯ There are short- and long-term gains in the cognitive skills of children with intractable epilepsy after hemispherotomy and posterior quadrantectomy that was better in those patients with acquired diseases. Age of seizure onset and duration of seizures prior to surgery were independent variables that predicted the postoperative outcome.