Syringomyelia in preterm children with posthemorrhagic occlusive hydrocephalus

التفاصيل البيبلوغرافية
العنوان: Syringomyelia in preterm children with posthemorrhagic occlusive hydrocephalus
المؤلفون: Ute Deutz, Birgit Assmann, Marc Schoberer, Martin R. Weinzierl, Dagmar Honnef, Martin Häusler
المصدر: Child's Nervous System. 28:2153-2156
بيانات النشر: Springer Science and Business Media LLC, 2012.
سنة النشر: 2012
مصطلحات موضوعية: Male, Ventriculostomy, medicine.medical_specialty, Ataxia, medicine.medical_treatment, Ventriculoperitoneal Shunt, Functional Laterality, Neurosurgical Procedures, Hematoma, medicine, Humans, medicine.diagnostic_test, business.industry, Infant, Newborn, Magnetic resonance imaging, General Medicine, medicine.disease, Magnetic Resonance Imaging, Syringomyelia, Hydrocephalus, Surgery, Child, Preschool, Anesthesia, Pediatrics, Perinatology and Child Health, Gestation, Female, Neurology (clinical), Neurosurgery, medicine.symptom, business, Intracranial Hemorrhages
الوصف: Whereas posthemorrhagic hydrocephalus is well known after preterm birth, its association with syringomyelia has been reported only once. Here, we describe two additional patients showing this rare constellation. The children had been born after 27 and 28 completed weeks of gestation, respectively. Both had developed neonatal cerebral hemorrhages. At the age of 4 years, patient 1 presented with progressive ataxia leading to the diagnosis of internal hydrocephalus and extensive syringomyelia. In patient 2, progressive ventriculomegaly and syringomyelia were diagnosed at the age of 4 weeks. In both children, ventriculoperitoneal shunting resulted in clinical improvement, decrease of the ventricular size, and regression of the syringomyelia. After surgery, patient 1 developed a subdural hematoma and patient 2 parenchymatous cerebral hemorrhages. The combination of syringomyelia and posthemorrhagic hydrocephalus may be more frequent than commonly assumed. Therefore, neurological deterioration may mandate spinal MRI in addition to cerebral MRI. Syringomyelia seems to result from impaired ventricular cerebrospinal fluid drainage as it regresses after ventriculoperitoneal shunting. Bleeding may complicate the postsurgical relaxation of distended brain parenchyma.
تدمد: 1433-0350
0256-7040
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d3a28c160dc9d62fc02c8cf23aca48a4
https://doi.org/10.1007/s00381-012-1857-y
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....d3a28c160dc9d62fc02c8cf23aca48a4
قاعدة البيانات: OpenAIRE