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Endoscopic Treatment of Hydrocephalus
Brian P. Walcott, MD;
Kristopher T. Kahle, MD, PhD;
William E. Butler, MD
Arch Neurol. Published online January 23, 2012. doi:10.1001/archneurol.2011.1766
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A 1-year-old child was transported from Liberia for diagnosis and treatment of severe macrocephaly. Although no medical records accompanied the child with transport, on arrival he was noted to have gross retardation of motor development, inability to maintain the position of his head, and intermittent bouts of lethargy. His head circumference measured 65 cm. Magnetic resonance imaging demonstrated massive hydrocephalus with enlargement of the entire ventricular system (Figure 1A). He was brought to the operating room for an endoscopic third ventriculocisternostomy and choroid plexus fulguration in an attempt to reduce his cerebrospinal fluid production and reset it to a new cerebrospinal fluid physiologic steady state, without the implantation of permanent shunting hardware. Postoperatively, he was noted to have improvement in his feeding, alertness, and interactiveness. His head control remained poor. Postoperative magnetic resonance imaging performed . . . [Full Text of this Article]COMMENT
AUTHOR INFORMATION
Author Affiliations: Department of Neurological Surgery, Massachusetts General Hospital and Harvard Medical School, Boston.
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