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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| Main Authors: | , , , , |
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| Format: | article |
| Language: | EN |
| Published: |
Brazilian Society for Pediatric Neurosurgery
2020
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| Subjects: | |
| Online Access: | https://doaj.org/article/a19da6cfccd04044ae0116a0dfae2b10 |
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| Summary: | 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. |
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