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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Bibliographic Details
Main Authors: Lucas de Souza Rodrigues dos Santos, Leo Gordiano Matias, Fernando Luís Maeda, Humberto Belem de Aquino, Enrico Ghizoni
Format: Article
Language:English
Published: Brazilian Society for Pediatric Neurosurgery 2020-08-01
Series:Archives of Pediatric Neurosurgery
Subjects:
Online Access:https://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/29
Description
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.
ISSN:2675-3626