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Hydrocephalus treatment

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https://www.readbyqxmd.com/read/28100860/-a-pediatric-case-of-intractable-cerebrospinal-fluid-leakage-after-implantation-of-an-intrathecal-baclofen-pump
#1
Akitsugu Morishita, Hideo Aihara, Tomoaki Nakai, Masao Adachi
Intrathecal baclofen(ITB)infusion can offer a useful treatment for severe spasticity;however, numerous complications have been reported. We report a pediatric case in which intractable cerebrospinal fluid(CSF)leakage associated with several inconvenient symptoms arose after implantation of the ITB pump system. A 10-year-old girl with spastic quadriparesis and athetoid cerebral palsy underwent implantation of an ITB delivery system. After discharge, she presented with fluid collection surrounding the pump in the abdomen...
January 2017: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/28095378/advanced-neuroimaging-techniques-in-pediatric-hydrocephalus
#2
Smruti K Patel, Weihong Yuan, Francesco T Mangano
From the early days of pneumoencephalography and ventriculography to the emerging technology of magnetic resonance diffusion tensor imaging (DTI) of the present day, neuroimaging has always been a critical tool in the diagnosis and treatment of pediatric hydrocephalus. There is accumulating evidence from both human and animal research suggesting that one of the major pathophysiological mechanisms underlying poor outcomes in these children is damage to vulnerable white matter (WM) structures in the brain as a result of ventricular enlargement and increased intracranial pressure...
January 18, 2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28077749/survey-of-obstetrician-gynecologists-in-the-united-states-about-taeniasis-and-cysticercosis
#3
Rebecca L Hall, Britta Anderson, Jay Schulkin, Paul T Cantey, Susan P Montgomery, Jeffrey L Jones
An estimated 50 million persons worldwide are infected with cysticerci, the larval forms of the Taenia solium tapeworm. Neurocysticercosis can cause seizures, epilepsy, and hydrocephalus, and fatal cases have been reported in the United States in immigrants and in travelers returning from endemic countries. Pregnant women with symptomatic neurocysticercosis present treatment challenges, whereas those with the adult tapeworm infection (i.e., taeniasis) can put their infants and other family members, as well as obstetrician-gynecologists and their staff, at risk for cysticercosis...
January 11, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28075000/-bromocriptine-could-it-be-the-cure-for-post-surgical-akinetic-mutism
#4
A Arevalo-Saenz, M Pedrosa-Sanchez, R G Sola
INTRODUCTION: Akinetic mutism is considered as an alteration of the motivational state of the person, which the patient is unable to initiate verbal or motor responses voluntary, even with preserved sensorimotor and surveillance functions. CASE REPORT: A 43 year-old male involved in a cerebellum arteriovenous fistula complicated with hydrocephalus, who responded dramatically to treatment with bromocriptine. CONCLUSION: Typically, akinetic mutism is described as a transient surgeries posterior fossa...
January 16, 2017: Revista de Neurologia
https://www.readbyqxmd.com/read/28072740/keyhole-approach-in-the-neuroendoscopic-treatment-for-hydrocephalus
#5
Qiang Cai, Xiangyang Zhang, Long Wang, Shulan Huang, Zhibiao Chen, Qianxue Chen
The aim of the study was to explore keyhole approach and dura suture in the neuroendoscopic treatment for hydrocephalus.Twelve cases of hydrocephalus patients who were treated with neuroendoscope by this approach were analyzed retrospectively from April 2015 to April 2016 in our department. The basic steps of this procedure was using drill and milling cutter to form a small bone flap instead of burr hole, and then making a cruciate incision on the dura. After endoscopic third ventriculostomy or endoscopic third ventriculostomy + ventriculocystostomy finished, dura was sutured and the bone flap was reset...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28072381/magnetic-resonance-imaging-and-positron-emission-tomography-in-the-diagnosis-of-neurodegenerative-dementias
#6
REVIEW
A Del Sole, S Malaspina, Alberto Magenta Biasina
Neuroimaging, both with magnetic resonance imaging (MRI) and positron emission tomography (PET), has gained a pivotal role in the diagnosis of primary neurodegenerative diseases. These two techniques are used as biomarkers of both pathology and progression of Alzheimer's disease (AD) and to differentiate AD from other neurodegenerative diseases. MRI is able to identify structural changes including patterns of atrophy characterizing neurodegenerative diseases, and to distinguish these from other causes of cognitive impairment, e...
October 2016: Functional Neurology
https://www.readbyqxmd.com/read/28068915/comparison-of-clinical-features-and-prognostic-factors-in-hiv-negative-adults-with-cryptococcal-meningitis-and-tuberculous-meningitis-a-retrospective-study
#7
Junyan Qu, Taoyou Zhou, Cejun Zhong, Rong Deng, Xiaoju Lü
BACKGROUND: The incidence of cryptococcal meningitis (CM) and tuberculous meningitis (TBM) have gradually increased in recent years. These two types of meningitis are easily misdiagnosed which leads to a poor prognosis. In this study we compared differences of clinical features and prognostic factors in non-HIV adults with CM and TBM. METHODS: We retrospectively reviewed the medical records of CM and TBM patients from January 2008 to December 2015 in our university hospital in China...
January 10, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28062369/stent-assisted-coiling-may-prevent-the-recurrence-of-very-small-ruptured-intracranial-aneurysms-a-multicenter-study
#8
Yisen Zhang, Ming Yang, Hongqi Zhang, Xiaolong Zhang, Youxiang Li, Chuhan Jiang, Jian Liu, Xinjian Yang
OBJECTIVE: To evaluate the safety and efficacy of endovascular treatments, including stent-assisted coiling, of very small (≤3 mm), ruptured intracranial aneurysms. METHODS: Ninety-three endovascularly treated patients with very small ruptured aneurysms were recruited from four high-volume centers between September 2010 and February 2014. Factors influencing procedural complications and outcomes were analyzed. RESULTS: Fifty-one (54.8%) aneurysms were treated by stent-assisted coiling, 41 (44...
January 3, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28059677/hydrocephalus-in-a-patient-with-an-unruptured-pial-arteriovenous-fistula-hydrodynamic-considerations-endovascular-treatment-and-clinical-course
#9
Jesús A Morales-Gómez, Vicente V Garza-Oyervides, José A Arenas-Ruiz, Mariana Mercado-Flores, C Guillermo Elizondo-Riojas, Frederick A Boop, Ángel Martínez-Ponce de León
Intracranial pial arteriovenous fistulas, also known as nongalenic fistulas, are rare vascular malformations affecting predominantly the pediatric population. Hydrocephalus is an unusual presentation in which the exact pathophysiology is not fully understood. The aim of treatment in these cases is occlusion of the fistula prior to considering ventricular shunting. Here, the authors describe the hydrodynamic considerations of the paravascular pathway and the resolution of hydrocephalus with endovascular treatment of the fistula...
January 6, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28057596/paediatric-hydrocephalus-in-ethiopia-treatment-failures-and-infections-a-hospital-based-retrospective-study
#10
Tsegazeab Laeke, Abenezer Tirsit, Hagos Biluts, Deeptha Murali, Knut Wester
OBJECTIVE/BACKGROUND: Treatment of paediatric hydrocephalus in Sub-Saharan countries is associated with significant complication rates. The objective of this study is to analyse the management of hydrocephalus and complication rates of surgical intervention in the Ethiopian setting in order to improve future quality. METHODS: A retrospective cohort study was conducted in a neurosurgical teaching hospital. Two cohorts separated by 2.5 years were analysed. RESULTS: A total of 128(58...
January 2, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28051982/single-neurosurgeon-operative-experience-at-craig-joint-theater-hospital-during-the-afghanistan-surge-november-2010-to-april-2011-part-ii-humanitarian-cases
#11
John Joseph Steele
BACKGROUND: The Afghanistan Surge saw NATO troops working with their Afghan partners to remove Taliban governance and replace it with a more democratic model. As part of this endeavor, medical support for both trauma and humanitarian cases was needed. OBJECTIVE: Identify and discuss disease trends to better prepare for future combat medical treatments. METHODS: Retrospective review of operative experience from a neurosurgeon from November 2010 to April 2011...
January 2017: Military Medicine
https://www.readbyqxmd.com/read/28034816/long-term-follow-up-of-repeat-endoscopic-third-ventriculostomy-in-obstructive-hydrocephalus
#12
Joachim Oertel, Sonja Vulcu, Leonie Eickele, Wolfgang Wagner, Giuseppe Cinalli, Jana Rediker
OBJECTIVE: Endoscopic third ventriculostomy (ETV) is a safe and less invasive treatment strategy for patients with obstructive hydrocephalus and provides excellent outcome. Nevertheless, repeat ETV in cases of ETV failure is a controversial issue. METHODS: Between 1993 and 1999, 113 patients underwent a total of 126 ETVs at the Department of Neurosurgery, Mainz University Hospital. Obstructive hydrocephalus was the causative pathology in all cases. A very long term follow-up of up to 16 years could be achieved...
December 27, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/28028598/a-comparison-of-the-moms-trial-results-to-a-contemporaneous-single-institution-postnatal-closure-cohort
#13
Nicholas M B Laskay, Anastasia A Arynchyna, Samuel G McClugage, Betsy Hopson, Chevis Shannon, Benjamin Ditty, John C Wellons, Jeffrey P Blount, Brandon G Rocque
PURPOSE: We evaluate a single-institution cohort of mothers contemporaneous with the Management of Myelomeningocele Study (MOMS) trial to determine the generalizability of MOMS results and compare shunt rates. METHODS: A retrospective chart review identified patients with myelomeningocele born between 2003 and 2009. We applied MOMS eligibility criteria and compared sociodemographic variables between patients at our institution who would have been eligible or ineligible and MOMS participants...
December 27, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28024493/-clinicopathological-features-of-primary-central-nervous-system-lymphoma-and-their-influence-on-prognosis-of-desease
#14
Chao-Yang DU, Ru-Yu Yang, Chao Li, Li-Juan Duan
OBJECTIVE: To study the clinical features of of patients with primary central nervous system lymphoma(PCNSL) and their influence on prognosis. METHODS: Forty-two cases of PCNSL hospitallized in our hospital from January 2012 to December 2015 were selected, and the laboratory analysis, imaging examination, bone marrow analysis and pathological examination all were performed, 26 cases were treated by lumbar puncture combined with intrathecal injection of drugs (Ara C, dexamethason and methotrexate), 8 cases were treated by methotrexate combined with rituximab, 8 cases voluntanly abandon treatment after being diagnosed as PCNSL...
December 2016: Zhongguo Shi Yan Xue Ye Xue za Zhi
https://www.readbyqxmd.com/read/28024134/-acute-mastoiditis-with-retroauricular-abscess-a-report-of-two-cases
#15
Andrzej Misiak
Otogenic complications may occur as a result of both acute and chronic otitis media. The purpose of the diagnostic process and treatment of patients with otogenic complications is to identify and eliminate focal points of the infection. Due to general application of antibiotics, these complications are rarely observed. Retroauricular abscess may be the first symptom associated with the development of acute mastoiditis in patients with communication disturbances. Intravenous antibiotics and surgery have been successfully used for treatment in the two described cases...
December 22, 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28018452/endovascular-stenting-of-tracheoinnominate-fistula-after-tracheostomy-in-a-14-year-old-boy
#16
Mi-Hye Bae, Yun-Jin Lee, Sang Ook Nam, Hye-Young Kim, Chang Won Kim, Young Mi Kim
Tracheoinnominate artery fistula is a rare, fatal complication of tracheostomy, and prompt diagnosis and management are imperative. We report the case of tracheoinnominate artery fistula after tracheostomy in a 14-year-old boy with a history of severe periventricular leukomalacia, hydrocephalus, cerebral palsy, and epilepsy. The tracheoinnominate artery fistula was successfully treated with a stent graft insertion via the right common femoral artery. Endovascular repair of the tracheoinnominate artery fistula via stent grafting is a safe, effective, and minimally invasive treatment for patients in poor clinical conditions and is an alternative to traditional open surgical treatment...
November 2016: Korean Journal of Pediatrics
https://www.readbyqxmd.com/read/28017757/is-fractionated-gamma-knife-radiosurgery-a-safe-and-effective-treatment-approach-for-large-volume-10-cm-3-intracranial-meningiomas
#17
Moon-Soo Han, Woo-Youl Jang, Kyung-Sub Moon, Sa-Hoe Lim, In-Young Kim, Tae-Young Jung, Shin Jung
BACKGROUND: Even with great advances in surgery and improved clinical outcome, morbidity and mortality are still high for large volume intracranial meningiomas (MNGs). Recently, gamma knife radiosurgery (GKS) has proven to be a safe and effective treatment for many patients with intracranial MNGs. However, single session GKS may increase the risk of radiation-induced toxicity for large MNGs. Recently, fractionated gamma knife radiosurgery (FGKS) has been performed for an increasing number of patients with surgically high-risk and large intracranial tumors...
December 22, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/28017745/negative-pressure-hydrocephalus-a-case-report-on-successful-treatment-under-intracranial-pressure-monitoring-with-bilateral-ventriculoperitoneal-shunts
#18
Sajan Pandey, Yi Jin, Liang Gao, Cheng Chen Zhou, Da Ming Cui
Negative pressure hydrocephalus (NegPH), a very rare condition of unknown etiology and optimal treatment, usually presents post neurosurgery with clinical and imaging features of hydrocephalus but with negative cerebrospinal fluid pressure. We here describe a NegPH case of -3 mmHg ICP, that was successfully treated to achieve +5mmHg under continues intracranial pressure monitoring with horizontal positioning; head down and legs elevated to 10-15(o); neck wrapping for controlled venous drainage; chest and abdomen bandage; infusion of 5% dextrose fluid to lower plasma osmolarity (Na(+) 130-135 mmol/L); daily CSF drainage >200 ml; and arterial blood gas PCO2 >40mmHg...
December 22, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/28013334/cerebellopontine-angle-medulloblastoma-with-extensive-nodularity-in-a-child-case-report-and-review-of-the-literature
#19
Raywat Noiphithak, Vich Yindeedej, Chatchai Thamwongskul
BACKGROUND: Cerebellar medulloblastomas (MBs) are one of the most common posterior fossa tumors in children but rarely occur in the cerebellopontine angle (CPA). Only 39 cases of CPA MBs were reported in the literature, and most of them were classic and desmoplastic MBs. CASE PRESENTATION: A 22-month-old girl presented with progressive cerebellar ataxia. Magnetic resonance imaging showed a large tumor in the right CPA and obstructive hydrocephalus. Surgical resection was performed and achieved total tumor removal...
December 24, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28010884/efficacy-of-lumbar-cistern-drainage-combined-with-intrathecal-antibiotherapy-for-the-treatment-of-ventriculo-subarachnoid-infections-following-surgery-for-hypertensive-intracerebral-hemorrhage
#20
Q-H Chen, D Lin, Q-G Yu, J Zhou
OBJECTIVE: The aim of this study was to investigate the efficacy of lumbar cistern drainage combined with intrathecal injection of antibiotics (LCD-ITI) in treating postoperative intracranial infections of hypertensive intracerebral hemorrhage (pHIH-ICI). METHODS: Sixty pHIH-ICI patients were randomly divided into the control group and the treatment group, with 30 patients in each group. Conventional treatment was performed in the control group, while LCD-ITI was performed in the treatment group...
December 20, 2016: Neuro-Chirurgie
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