Pediatric neurosurgery
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Pediatric neurosurgery · Jan 2008
Case ReportsCerebrospinal fluid shunting in children on renal dialysis. Report of two cases.
The concurrent need for both cerebrospinal fluid shunting for hydrocephalus and dialysis for end-stage renal disease is rare. No large case series are found in the literature. ⋯ In one case, a child underwent ventriculoperitoneal shunting, while in the second case ventriculoatrial shunting was performed as the initial procedure. Management strategies and potential complications are discussed.
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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 ReportsPostoperative brain stem tension pneumocephalus causing transient locked-in syndrome.
The incidence of pneumocephalus after supratentorial craniotomy has been reported to be as high as 100%. However, transformation of postoperative pneumocephalus into tension pneumocephalus (symptomatic intracranial air) is a rather rare phenomenon. ⋯ We hereby report on a patient who developed brain-stem tension pneumocephalus in the early postoperative period after posterior fossa craniotomy for an exophytic brainstem astrocytoma, operated in the prone position. A complete locked-in syndrome resolved following surgical relief of the trapped air.