[Late clinical manifestations of hydrocephalus associated with aqueductal stenosis].

Abstract:

:Hydrocephalus associated with aqueductal stenosis is not uncommon after the 2nd year of life. In some patients, stenosis is due to slow-growing periaqueductal tumors that can only be revealed by magnetic resonance examination. We reviewed 31 cases of children with aqueductal stenosis and hydrocephalus diagnosed after the second year of life, and operated on in the Section of Paediatric Neurosurgery of UCSC between 1982 and 1993. Eighteen cases (Group I) had nonneoplastic aqueductal stenosis, while in 13 cases (Group II) it was demonstrated a periaqueductal tumor by NMR. Intracranial hypertension was the most frequent symptom at diagnosis in both groups. In Group I mental and growth retardation were frequent, while cerebellar signs were quite common in Group II. The treatment of choice for hydrocephalus was a V-P shunt. Tumors in Group II were not directly treated, because of their benign behaviour. Subdural hematoma was a relatively common shunt complication in these patients. In 2 cases we observed an atypic complication: patients developed an altered level of consciousness, upsight paresis and distony, without any sign of increased intracranial pressure, or cerebro-spinal fluid infection. One of these patients died; we treated the second patient with L-Dopa (Sinemet 150 mg/die); he progressively improved and had a complete remission of symptoms. Surgical mortality was nil; long-term mortality was 12.5%. In 76.1% of Group II patients we have not observed any tumor growth; 50% of Group I patients has still a complete remission of preoperative symptoms (follow-up 2-12 years).

journal_name

Minerva Pediatr

journal_title

Minerva pediatrica

authors

Di Rocco C,Iannelli A,Tamburrini G

subject

Has Abstract

pub_date

1995-12-01 00:00:00

pages

511-20

issue

12

eissn

0026-4946

issn

1827-1715

journal_volume

47

pub_type

杂志文章
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    doi:

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    authors: Ansaldi-Balocco N,Malorgio E,Faussone D,Dell'Olio D,Morra I,Forni M,Oderda G

    更新日期:1994-12-01 00:00:00

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    doi:

    authors: Schwarzenberg TL,Loreti P,Sgricia S,Acconcia P,Tiberi R,Buffone MR,Coltellacci M

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    doi:

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    doi:

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    doi:

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    pub_type: 杂志文章

    doi:

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  • [Intravenous immunoglobulins in newborn infants at risk of infection. Comparative efficacy of preparations 7S and 5S].

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    pub_type: 临床试验,杂志文章

    doi:

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    更新日期:1990-01-01 00:00:00

  • [Acute cannabis poisoning in a female child].

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    pub_type: 杂志文章

    doi:

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