Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
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The purpose of this study was to describe the treatment of noninfectious fever in children with severe traumatic brain injury (TBI). ⋯ Early combination antipyretic therapy may be needed to effectively maintain normothermia in children with severe TBI.
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Comparative Study
Management of intracranial cavernous malformation in pediatric patients.
Cavernous malformations (CMs) are vascular malformations affecting any part of the central nervous system. CMs in the pediatric age group are known to be different from those of adults both in origin and clinical characteristics. In this paper, we report our experience in managing CMs in pediatric patients. ⋯ Our results suggest that pediatric patients with symptomatic CMs should be treated surgically because of the risk of recurrent hemorrhaging and the general benefits of CM removal.
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Superior mesenteric artery or Wilkie's syndrome is defined as compression of the third part of duodenum by superior mesenteric artery. It has not been previously reported in children after neurosurgical procedures. ⋯ Despite eventual hydrocephalus control, vomiting persisted, and she was diagnosed with superior mesenteric artery syndrome, this being confirmed radiologically and settled with appropriate nutritional management.
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Case Reports
Endoscopic excision of intraventricular neurocysticercosis in children: a series of six cases and review.
Neurocysticercosis (NCC) affects both adults and children, but it is uncommon in childhood. The clinical presentation and management of intraventricular neurocysticercosis (IVNCC) in children has not been described adequately. We, therefore, present our series of six children with IVNCC managed by endoscopic excision. ⋯ Endoscopic IVNCC cyst excision along with internal CSF diversion is a safe and effective option and avoids shunt and its related complications in these children.
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To determine the predictive powers of intracranial pressure (ICP) and cerebral perfusion pressure (CPP) amongst severely brain injured children. ⋯ ICP and CPP are accurate predictors of unfavourable outcome.