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Adelola Adeloye, MB, BS, MRCP, FRCS; Sant P. Singh, MB, BS, FRCS(Ed); E. Latunde Odeku, MD

Arch Neurol. 1970;23(3):271-273.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IT WAS Heatley¹ in 1939 who first noted the occurrence of laryngeal stridor in a child with myelomeningocele and hydrocephalus. In the years that followed, other reports appeared in otolaryngological^2-6 and pediatric^7,8 literature of the rare association of disturbed laryngeal function, spinal dysraphic state, malformations of the hind brain, and hydrocephalus. Recently in the neurosurgery clinic of University College Hospital, Ibadan, we encountered a Nigerian child who presented first with lumbar myelomeningocele and later developed hydrocephalus and severe laryngeal stridor, in whom a functioning ventriculo-peritoneal shunt for the rapidly progressing hydrocephalus dramatically relieved the laryngeal stridor which threatened his life. A review of the literature showed that the neurosurgical implications of this syndrome have only re

Fig 1.—Cisternal pneumoencephalography (inverted head position) demonstrating hydrocephalus and elongated, deformed fourth ventricle (arrow). Note presence of Till-Dahl-Wade valve used in shunt operation. ceived passing mention until Kirsch et al⁹ . . . [Full Text PDF of this Article]

Author Affiliations
Ibadan, Nigeria

From the Neurosurgery Unit, Department of Surgery (Drs. Adeloye and Odeku), and the Subdepartment of Ear, Nose, and Throat (Dr. Singh), University of Ibadan, Ibadan, Nigeria.

Footnotes
Accepted for publication April 17, 1970.

Reprint requests to University College Hospital, Department of Neurosurgery, Ibadan, Nigeria, West Africa (Dr. Adeloye).

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