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- Title
Recurrent obstructive hydrocephalus in a 4-month-old infant.
- Authors
Castellano-Chiodo, Danilo; Pavone, Piero; Praticò, Andrea Domenico; Romantshik, Olga; Rossi, Andrea; Raffaele, Rocco; Pavone, Lorenzo; Ruggieri, Martino
- Abstract
Transient, recurrent or permanent causes of hydrocephalus in children are usually due to tumours, cerebral bleeding or colloid cysts and complications of infectious meningitis or secondary to poisoning. Recurrent, obstructive hydrocephalus is very rare. We report a 4-month-old boy who suffered at least three different episodes of obstructive hydrocephalus presumably caused by intermittent valvular blockage of the normal aqueduct cerebrospinal flow as indirectly demonstrated by serial standard and dynamic brain imaging studies. In addition, he had congenital left hydronephrosis secondary to congenital ureteropelvic junction stenosis. The child underwent an endoscopic third ventriculostomy with only transient post-surgical complications (i.e. central diabetes insipidus). The neurological symptoms rapidly improved after surgery, and the child is currently doing well with normal psychomotor development.
- Subjects
HYDROCEPHALUS in infants; TUMORS; CEREBRAL hemorrhage; CYSTS (Pathology); MENINGITIS in children; CEREBROSPINAL fluid; BRAIN imaging; HYDRONEPHROSIS in children
- Publication
Child's Nervous System, 2010, Vol 26, Issue 1, p133
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-009-1006-4