Pediatric neurosurgery
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Pediatric neurosurgery · Nov 1996
Case ReportsSubdental synchondrosis fracture in children: the value of 3-dimensional computerized tomography.
A case is presented illustrating the usefulness of computerized tomography (CT) with 3-dimensional (3-D) reconstruction for evaluation of a subdental synchondrosis fracture in a child. Odontoid fractures in children less than 7 years of age occur at the subdental synchondrosis and are typically diagnosed with plain x-rays. However, a delay in diagnosis is common as these injuries may not be appreciated on initial roentgenographic evaluation. ⋯ In this patient, plain x-ray and conventional axial CT failed to definitively elucidate the child's injuries; however, the use of CT with 3-D reconstruction fully delineated the injury. The use of CT with 3-D reconstruction in evaluating children with subdental synchondrosis fractures is a valuable tool for diagnosis. The treatment of synchondrosis fractures of the odontoid process in children is immobilization of the cervical spine.
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Pediatric neurosurgery · Nov 1996
Case ReportsNeuro-endoscopic fenestration of occluded foramen of Monro causing unilateral hydrocephalus.
An uncommon case of unilateral hydrocephalus due to membranous occlusion of the ipsilateral foramen of Monro is presented. The patient successfully underwent neuroendoscopic fenestration of the occluded foramen of Monro along with septum pellucidum fenestration.