Pediatric neurosurgery
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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.
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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.
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Pediatric neurosurgery · Jan 2008
Case ReportsPenetrating intracranial injury due to crochet needle.
Penetrating head injury is uncommon and is always a curiosity in terms of the mechanism involved. The complete extent of the damage can only be known with CT scan of the brain, which at times may be difficult to get, due to the large size of the foreign body. ⋯ This patient, fortunately, escaped without any neurological deficit and complications. The principles of management are highlighted.
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Pediatric neurosurgery · Jan 2007
Case ReportsCat scratch disease with epidural extension while on antimicrobial treatment.
We report the first case of a child with an epidural abscess caused by Bartonella henselae. This case is unique in that the diagnosis was confirmed by polymerase chain reaction (PCR) of the abscess fluid. ⋯ Magnetic resonance imaging (MRI) of the lumbar spine revealed a paraspinal soft tissue abnormality extending from the T(12) to the L(4) level, and a computed tomography (CT) scan of the lumbar spine showed osteomyelitis at the T(12) level with soft tissue changes. B. henselae serology showed an IgG titer of 1:256 and IgM of <1:16.