Pathophysiology of isolated lateral ventriculomegaly in shunted myelodysplastic children.

Abstract:

:Eight myelodysplastic children developed isolated lateral ventriculomegaly following shunt insertion for progressive hydrocephalus after closure of a myelomeningocele. In all patients a low-pressure distal slit valve (Uni-shunt) system preceded development of an isolated contralateral ventricle. Six of 8 children required a second contralateral shunt for a symptomatic isolated ventricle. Magnetic resonance imaging demonstrated a collapsed ventricle ipsilateral to the shunt secondary to distortion of the foramen of Monro. This was clearly depicted using three-dimensional color reconstructions of the ventricular anatomy. Low-pressure distal slit valves should be avoided in myelodysplastic children to prevent postshunt ventricle isolation.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Berger MS,Sundsten J,Lemire RJ,Silbergeld D,Newell D,Shurtleff D

doi

10.1159/000120547

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

301-4

issue

6

eissn

1016-2291

issn

1423-0305

journal_volume

16

pub_type

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