A case of cerebrospinal fluid eosinophilia associated with shunt malfunction.

Abstract:

:A 3-month-old female patient presented with a meningomyelocele at the lumber region associated with congenital hydrocephalus. She underwent ventriculoperitoneal (V-P) shunt surgery using the Sophy system. The shunt system was replaced due to a malformation. Following replacement, the patient presented with cerebrospinal fluid (CSF) eosinophilia at the age of 8 months. The eosinophilic granulocytosis of the CSF improved dramatically following systemic prednisolone administration. CSF eosinophilia without accompanying inflammation or pyrexia in the present case may have resulted from an allergic response to a foreign material such as the silicone tube pressure valve of the Sophy system or the sutures rather than bacterial or fungal infection. Based on our results, we believe that some patients may experience CSF eosinophilia following postoperative V-P shunt due to an allergic reaction to the shunt equipment. Prompt steroid treatment can produce spontaneous regression in such cases.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Tanaka T,Ikeuchi S,Yoshino K,Isoshima A,Abe T

doi

10.1159/000028752

keywords:

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

6-10

issue

1

eissn

1016-2291

issn

1423-0305

pii

28752

journal_volume

30

pub_type

杂志文章
  • Surgical management of the cloverleaf skull deformity.

    abstract::The cloverleaf skull deformity, or Kleeblattschädel, is a rare malformation caused by synostosis of multiple cranial sutures. This anomaly has been reported to carry a dismal prognosis both in terms of neurological outcome as well as cosmetic appearance if treatment is delayed. Due to the paucity of data concerning th...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121296

    authors: Resnick DK,Pollack IF,Albright AL

    更新日期:1995-01-01 00:00:00

  • Hepatic pseudocyst as a result of ventriculoperitoneal shunts: case report and review of the literature.

    abstract::Hepatic pseudocyst formation is a rare intra-abdominal complication of ventriculoperitoneal shunts. The presence of an intracranial tumor and a history of central nervous system infection are major risk factors for the development of this complication. Hepatic pseudocysts secondary to ventriculoperitoneal shunts can b...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000108795

    authors: Kaplan M,Ozel SK,Akgun B,Kazez A,Kaplan S

    更新日期:2007-01-01 00:00:00

  • Pumping the shunt revisited. A longitudinal study.

    abstract::Most cerebrospinal fluid (CSF) shunts employed in the treatment of hydrocephalus include in their designs a pump mechanism that has been used in office practice as an indicator of whether the shunt is functioning properly; however, the pumping characteristics of shunts have been shown to correlate poorly with clinical...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121100

    authors: Piatt JH Jr

    更新日期:1996-08-01 00:00:00

  • Primary Spinal Intradural Extraosseous Ewing Sarcoma in a Pediatric Patient: Case Report and Review of the Literature.

    abstract::Ewing sarcoma (ES) is an aggressive, primary bone malignancy with occasional soft tissue extension. Purely extra-osseous ES is rare. A primary intraspinal, intradural ES without bone involvement is exceedingly rare. ES may be differentiated from other primitive neuroectodermal tumors by molecular analysis. The authors...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000488767

    authors: Scantland JT,Gondim MJ,Koivuniemi AS,Fulkerson DH,Shih CS

    更新日期:2018-01-01 00:00:00

  • An unusual case of traumatic intracranial hemorrhage caused by wakeboarding.

    abstract::Wakeboarding is a relatively new and exciting sporting activity which is similar to water-skiing. While there have been several reports of water-skiing-related injuries, there has been nothing reported in the literature so far concerning injuries in wakeboarding. We present the case of a 14-year-old male who sustained...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028957

    authors: Chia JK,Goh KY,Chan C

    更新日期:2000-06-01 00:00:00

  • Novalis radiosurgery of optic gliomas in children: preliminary report.

    abstract:AIM:To evaluate the effectiveness of Novalis radiosurgery (RS) in children with optic gliomas. METHODS:Four pediatric patients (1 male and 3 female) were treated for optic gliomas with Novalis RS in our institution between February 2002 and July 2002. Their mean age was 12 (range 5-16) years at presentation for Novali...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000103305

    authors: Han SR,Yoon SW,Yee GT,Choi CY,Sohn MJ,Lee DJ,Whang CJ

    更新日期:2007-01-01 00:00:00

  • Pediatric skull base surgery. 1. Embryology and developmental anatomy.

    abstract::Surgical pathology of the pediatric cranial base is uncommon, but in affected children, traditional operative techniques and management philosophies predominate. While the creation of multidisciplinary skull base teams synergistically pools the talents of individual specialties, a better understanding of the developme...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000067558

    authors: Gruber DP,Brockmeyer D

    更新日期:2003-01-01 00:00:00

  • Intracranial metastasis of Wilms' tumor involving the tectal plate without pulmonary involvement. Case report.

    abstract::Intracranial metastasis without pulmonary involvement of Wilms' tumor is very rare, and most previously reported metastatic sites have been in the cerebral parenchyma. We experienced a rare case of metastasis of Wilms' tumor in the tectal plate without pulmonary involvement. A 3-month-old boy was admitted to our hospi...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028819

    authors: Harada K,Nishizaki T,Kwak T,Fujisawa H,Nishikawa M,Ito H

    更新日期:1999-06-01 00:00:00

  • Endocrinological outcome of different treatment options in children with craniopharyngioma: a retrospective analysis of 66 cases.

    abstract::Craniopharyngioma is one of the leading causes of hypothalamic-pituitary dysfunction in childhood, caused either by the tumor itself or the consequences of treatment. Tumor management in terms of recurrence rate, quality of life and complications is still controversial. Sixty-six patients with craniopharyngioma at ped...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000079852

    authors: Gonc EN,Yordam N,Ozon A,Alikasifoglu A,Kandemir N

    更新日期:2004-05-01 00:00:00

  • Skull repair in children.

    abstract::Skull defects in children may be congenital or acquired after trauma, infection or tumor. For defects that do not close spontaneously a variety of repair (cranioplasty) materials are available including bone, metals and acrylic. Where possible calvarial autogenous bone is preferred, particularly in younger infants, bu...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120540

    authors: Hockley AD,Goldin JH,Wake MJ,Iqbal J

    更新日期:1990-01-01 00:00:00

  • Surgical management of craniopharyngioma.

    abstract::Craniopharyngiomas can be divided into sellar, prechiasmatic, retrochiasmatic and giant tumors. The initial approach to a craniopharyngioma should be an attempt at its removal. Only if surgical therapy fails to deal with the tumor should more conservative approaches utilizing radiotherapy be used. The use of intracyst...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000120861

    authors: Hoffman HJ

    更新日期:1994-01-01 00:00:00

  • Impaired motor learning in children with hydrocephalus.

    abstract::Hydrocephalic (n = 19) and normal (n = 20) children in two age groups (averaged at 10 and 14 years old) were asked to learn 5 predetermined timing rhythm interval tasks (including timing duration and relative timing pattern) by pressing keys on a computer keyboard. In the acquisition phase, visual and auditory goal ti...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056017

    authors: Ding Y,Lai Q,McAllister II JP,Canady AI

    更新日期:2001-04-01 00:00:00

  • Gastric perforation due to ventriculo-peritoneal shunt.

    abstract::Gastric perforation is a complication that can arise from ventriculo-peritoneal (VP) shunting. Careful examination of a newborn girl admitted to our department revealed several neurological problems. A VP shunt was inserted under direct visualization, leaving 20 cm of the catheter in the peritoneal cavity. The infant ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120834

    authors: Alonso-Vanegas M,Alvarez JL,Delgado L,Mendizabal R,Jiménez JL,Sanchez-Cabrera JM

    更新日期:1994-01-01 00:00:00

  • The Total Calvarial Remodeling with Transsutural Distraction Osteogenesis of 21 Cases of Craniosynostosis: New, Efficient, Safe and Natural Method in Craniosynostosis Surgery.

    abstract:INTRODUCTION:The majority of the present distraction osteogenesis techniques involve local site expansion that only produces localized decompression and affords limited decompression and cosmetic results. We designed a new surgical procedure, total calvarial transsutural distraction osteogenesis (TSuDO). METHODS:We pe...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000381860

    authors: Park DH,Yoon SH

    更新日期:2015-01-01 00:00:00

  • Diagnosis and management of the Dandy-Walker malformation: 30 years of experience.

    abstract::Thirty-seven patients with Dandy-Walker malformation were treated between 1959 and 1989. Eighty percent of patients became symptomatic by 3 years of age, with 70% presenting within the 1st year of life. Hydrocephalus was present in 91% of patients at the time of diagnosis. Clinical presentation was most often heralded...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120660

    authors: Osenbach RK,Menezes AH

    更新日期:1992-01-01 00:00:00

  • Complete ocular paresis in a child with posterior fossa syndrome.

    abstract::Posterior fossa syndrome (PFS), also known as cerebellar affective syndrome, is characterized by emotional lability and decreased speech production following injury or surgery to the cerebellum. Rarely, oculomotor dysfunction has been described in association with PFS. Here, we report a case of complete ocular paresis...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000339382

    authors: Afshar M,Link M,Edwards MS,Fisher PG,Fredrick D,Monje M

    更新日期:2012-01-01 00:00:00

  • Experimental acute subdural hematoma in infant piglets.

    abstract::Traumatic acute subdural hematoma is associated with high mortality in the pediatric population, yet the pathophysiology remains poorly understood. The objective of this study was to develop a pediatric model of acute subdural hematoma, and to evaluate the resultant histopathological changes in the brain. Ten 3-week-o...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121109

    authors: Shaver EG,Duhaime AC,Curtis M,Gennarelli LM,Barrett R

    更新日期:1996-09-01 00:00:00

  • Transient Horizontal Gaze Palsy in a One-Month-Old Boy after a Fall.

    abstract::A 1-month-old boy was evaluated after a fall from a height of 3 feet and found to have right parietal skull fracture as well as right and left frontal traumatic hemorrhage. Ten days after the injury, he represented with a persistent left gaze preference. Further workup including MRI and EEG determined that this findin...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000441680

    authors: Bourne SK,Duhaime AC

    更新日期:2016-01-01 00:00:00

  • Inflicted traumatic brain injury: relationship of developmental outcome to severity of injury.

    abstract::Inflicted traumatic brain injury (TBI) is a frequent consequence of physical child abuse in infants and children. Twenty-eight children who were 2-42 months of age when hospitalized for moderate to severe TBI were enrolled in a prospective, longitudinal study of neurobehavioral outcome following acquired brain injury....

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028872

    authors: Ewing-Cobbs L,Prasad M,Kramer L,Landry S

    更新日期:1999-11-01 00:00:00

  • Effect of surgical repair on the neurologic function in infants with lipomeningocele.

    abstract::Eighteen children under the age of 1 year underwent surgery for lipomeningocele at our institution between 1983 and 1991. All the patients had neurologic exams and urodynamic studies (UDS) including a cystometrogram and electromyography of the external urethral sphincter pre- and postoperatively. The surgical procedur...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120741

    authors: Sathi S,Madsen JR,Bauer S,Scott RM

    更新日期:1993-09-01 00:00:00

  • An unusual variant of a growing skull fracture in an adolescent.

    abstract::A great majority of growing skull fractures occur in infancy and earlychildhood. Since the growth of brain is necessary as a driving force for these lesions to occur, almost all reported cases have been before the first 3 years of life. Although a number of uncommon locations, such as basiooccipital and skull base are...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000028682

    authors: Colak A,Akbaşak A,Biliciler B,Erten SF,Koçak A

    更新日期:1998-07-01 00:00:00

  • Neurosurgical Management of Lateral Meningocele Syndrome: A Clinical Update for the Pediatric Neurosurgeon.

    abstract:BACKGROUND:Lateral meningocele syndrome (LMS) is an exceedingly rare connective tissue disease with phenotypic anomalies similar to those seen in Marfan syndrome, Ehler-Danlos syndrome, and Loeys-Dietz syndrome. However, this syndrome is invariably associated with the presence of multiple lateral thoracolumbar spinal m...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000504060

    authors: Cuoco JA,Klein BJ,Busch CM,Gosnell HL,Kar A,Marvin EA,Apfel LS

    更新日期:2020-01-01 00:00:00

  • Conventional and diffusion-weighted magnetic resonance imaging findings in a pediatric patient with a posterior fossa brain tumor and papilledema.

    abstract::We present a case report of a 21-month-old female patient to highlight magnetic resonance (MR) imaging findings associated with papilledema in a pediatric patient with an intracranial tumor. The MR findings included optic disc elevation, dilated perioptic subarachnoid spaces, optic nerve tortuosity and restricted diff...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000270156

    authors: Pakzad-Vaezi K,Cochrane D,Sargent M,Singhal A

    更新日期:2009-01-01 00:00:00

  • Do grip and pinch strength predict neurologic complications in children with spina bifida and hydrocephalus?

    abstract:BACKGROUND:Neurological complications occur commonly in children with meningomyelocele and can cause significant morbidity and mortality. An earlier study suggested that acute changes in grip and pinch strength could be used to identify individuals at increased risk for developing a neurological complication. OBJECTIV...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000092356

    authors: Liptak GS,Fried R,Baltus-Hebert E,Eyer Tierney S,Fucile S,Doremus TL

    更新日期:2006-01-01 00:00:00

  • Fibrous dysplasia of the skull in children.

    abstract::Early diagnosis of skull fibrous dysplasia in children is relatively easy, based on a history of painless progressive bony bulging. The therapeutic approach is still controversial, due to the benignity of the lesion. However, the clinical course may be unpredictable, with sudden appearance of symptoms, some of which c...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120649

    authors: Di Rocco C,Marchese E,Velardi F

    更新日期:1992-01-01 00:00:00

  • Cerebellopontine angle arachnoid cyst harbouring ectopic neuroglia.

    abstract::Arachnoid cysts are collections of cerebrospinal fluid covered by arachnoidal cells and collagen. They may have a congenital or acquired origin. We present the case of a 7-year-old boy with a cerebellopontine angle arachnoid cyst harbouring a portion of neuroglia. Microscopically, the cyst wall consisted of a delicate...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000086566

    authors: Ariai S,Koerbel A,Bornemann A,Morgala M,Tatagiba M

    更新日期:2005-07-01 00:00:00

  • Radiation-Associated Glioblastoma after Prophylactic Cranial Irradiation in a Patient of ALL: Review of Literature and Report of a Rare Case.

    abstract:INTRODUCTION:The cumulative incidence of radiation-induced second malignancy is 1-2% per decade after radiotherapy (RT). Radiation-induced malignant glioma (RIMG) is a rare complication of cranial RT. CASE PRESENTATION:We herein describe a case of left frontal glioblastoma arising 5 years after prophylactic cranial ir...

    journal_title:Pediatric neurosurgery

    pub_type:

    doi:10.1159/000511996

    authors: Biswas A,Kashyap L,Bakhshi S

    更新日期:2020-01-01 00:00:00

  • Spontaneous regression of low-grade gliomas in pediatric patients without neurofibromatosis.

    abstract:OBJECTIVE:Pediatric low-grade gliomas comprise a diverse range of central nervous system tumors, sharing the usual course of a slow progression in growth. In individual cases however, the natural history can be variable, and rarely spontaneous regression has been described. This paper describes factors associated with ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000134925

    authors: Rozen WM,Joseph S,Lo PA

    更新日期:2008-01-01 00:00:00

  • Three choroid plexus papillomas in a patient with Aicardi syndrome. A case report.

    abstract::Aicardi syndrome is an X-linked dominant disorder primarily defined by the triad of corpus callosum agenesis, infantile spasms and a pathognomonic lacunar chorioretinopathy. Papillomas of the choroid plexus have been reported in affected patients. We report an Aicardi syndrome patient who had three separate choroid pl...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000055956

    authors: Taggard DA,Menezes AH

    更新日期:2000-10-01 00:00:00

  • Surgical Superior Sagittal Sinus Thrombectomy in Refractory Thrombosis: A Technical Note.

    abstract:OBJECTIVE:Surgical treatment options are limited for medically and endovascular refractory cerebral venous sinus thrombosis (CVT). We describe the technical feasibility of open, direct sinus thrombectomy in a pediatric patient with medically and endovascular refractory CVT. METHODS:A 15-year-old patient with superior ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000495808

    authors: Westwick HJ,Obaid S,Bordeleau-Roy F,Truffer E,Weil AG

    更新日期:2019-01-01 00:00:00