Combined approach of multiloculated hydrocephalus and isolated fourth ventricle

A female newborn patient presents with meningitis and hydrocephalus after lumbosacral myelomeningocele repair and skin closure. An external ventricular drain was used during the meningitis treatment. Patient had a late onset multiloculated hydrocephalus and isolated fourth ventricle on CT scan follo...

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Autores principales: Lucas de Souza Rodrigues dos Santos, Leo Gordiano Matias, Fernando Luís Maeda, Humberto Belem de Aquino, Enrico Ghizoni
Formato: article
Lenguaje:EN
Publicado: Brazilian Society for Pediatric Neurosurgery 2020
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Acceso en línea:https://doaj.org/article/a19da6cfccd04044ae0116a0dfae2b10
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Sumario:A female newborn patient presents with meningitis and hydrocephalus after lumbosacral myelomeningocele repair and skin closure. An external ventricular drain was used during the meningitis treatment. Patient had a late onset multiloculated hydrocephalus and isolated fourth ventricle on CT scan follow-up. We performed combined approach with a craniotomy, dissection of intraparietal sulcus entering in the atrium of left lateral ventricle and used endoscopic assistance to fenestrate intraventricular septations and to put a ventricular catheter through tentorium to drain both supra and infratentorial ventricles. The patient improved clinically and radiologically.