Pediatric neurosurgery
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Pediatric neurosurgery · Jun 2000
Case ReportsHippocampal sclerosis in a two-year-old with temporal lobe epilepsy: case report with pathological confirmation.
The case of a 2-year-old girl who underwent anterior temporal lobectomy for intractable epilepsy is described. Hippocampal sclerosis (HS) was present on histopathological examination. We believe this to be one of the youngest reported patients with pathologically confirmed HS. This has implications for the possible etiology of HS.
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Pediatric neurosurgery · May 2000
Case ReportsA modified burr-hole method 'galeoduroencephalosynangiosis' in a young child with moyamoya disease. A preliminary report and surgical technique.
We performed combined indirect surgical procedures using encephaloduroarteriomyosynangiosis and a burr-hole method according to descriptions by Suzuki et al. and Kawaguchi et al. with some modifications in a 4-year-old child with moyamoya disease. Transient ischemic attacks on both sides completely disappeared within 1 month and never occurred during 2.5 years follow-up period. This surgical procedure may have enough value as the first operation to prevent ischemic damage in the territories of both the anterior cerebral artery and middle cerebral artery in children with moyamoya disease.
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Pediatric neurosurgery · May 2000
Surgical treatment of temporal tumors associated with epilepsy in children.
Seizures are a frequent sign of cerebral supratentorial tumors in children, especially when the location of the neoplasm is the temporal lobe. We report a series of 37 pediatric patients with temporal epileptogenic tumors. They represent 80.4% of children affected by temporal neoplasms, confirming the high incidence of seizures when neoplasms are located in this cerebral area. ⋯ Four patients showed a significant reduction in the frequency of their fits. In 2 subjects, only the frequency of seizures was minimally reduced after tumor excision; in both, a partial removal of their tumor was performed. The relationship among the results on epilepsy and the extent of surgery removal of the tumor, brain tissue removal if any, frequency of seizures in the preoperative period and the time interval between the first epileptic manifestation and surgery show that the most significant prognostic element predictive of a good control of seizures is radical resection of the tumor.
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Pediatric neurosurgery · Apr 2000
Case ReportsSuccessful treatment of a neonate with vein of Galen aneurysmal malformation.
We present a follow-up study on a 5-year-old boy who was born with vein of Galen aneurysmal malformation (VGAM) accompanied by extreme cardiovascular distress. He was successfully treated by the staged endovascular technique during the neonatal stage. ⋯ At 5 years of age, the child is growing normally without neurological deficits or developmental retardation. We suggest that the restoration of normal brain perfusion in neonates with VGAM can cause normal brain development.
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Pediatric neurosurgery · Apr 2000
Case ReportsTraumatic acute giant epidural hematoma in a hydrocephalic shunted child.
Extradural hematoma (EDH) is considered to be a rare complication of head trauma in children, and represents a serious and urgent pathology from which complete recovery can be expected if specialized treatment is instituted in time. In this article, the authors report the potential danger to a hydrocephalic shunted child who was apparently asymptomatic at the time of hospital admission with a mild head injury and developed an EDH of venous origin. ⋯ The authors discuss the role of the ventriculoperitoneal shunting system in the lack of clinical symptoms associated with the presence of a giant EDH and a rapid and fatal course, and stress the importance of computed tomographic (CT) scanning in these patients, even if they are asymptomatic. If a skull fracture is suspected, a CT scan must be performed without delay.