Arachnoid collapse is a previously unreported complication of endoscopic choroid plexus coagulation (ECPC) treatment of hydranencephaly and is demonstrated in this case report. The variable anatomy found in hydranencephaly supports the use of ECPC as the preferred treatment option. However, the same anatomical anomalies predispose the procedure to this unique complication. A brief literature review of hydranencephaly has also been performed and is reported through the discussion. Neurosurgeons must be aware of this very dangerous complication and a discussion of preventative measures are made. The use of ECPC and the clinical expectations of treating patients with hydranencephaly is also discussed.
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http://dx.doi.org/10.5137/1019-5149.JTN.10453-14.1 | DOI Listing |
J Neurosurg Pediatr
December 2024
2Fetal Medicine Division, Hospital e Maternidade Santa Joana, São Paulo; and.
Objective: The authors aimed to describe a low-cost and easily reproducible alteration of the Bruner and Tulipan procedure to preserve uterine muscular fibers. They conducted a retrospective cohort study of 10 pregnant women whose fetuses developed lumbosacral myelomeningocele (MM). The MM was repaired through a fetal neurosurgical procedure using a tubular single-port endoscope-assisted technique.
View Article and Find Full Text PDFChilds Nerv Syst
December 2024
Department of Neurosurgery, Boston Childrens Hospital, Harvard Medical School, Boston, MA, USA.
Purpose: Pediatric hydrocephalus imposes a significant clinical and financial burden in developing countries. Traditional treatment by ventricular shunting in this setting suffers a high rate of shunt infection and malfunction. This study aims at assessing the efficacy and safety of endoscopic third ventriculostomy (ETV), either alone or combined with choroid plexus cauterization (CPC), for preventing shunt dependence in pediatric hydrocephalus within a healthcare setting of a tertiary hospital in Egypt.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
December 2024
Departments of Neurosurgery, UC Davis Medical Center, Sacramento, California.
Background: "Dangling choroid" is a prenatal sonographic marker of ventriculomegaly that measures the angle of choroid plexus (ChP) displacement in the lateral ventricle. To the authors' knowledge, postnatal sequelae related to this pathology, besides hydrocephalus, have never been reported.
Observations: A female fetus was diagnosed with bilateral ventriculomegaly.
World Neurosurg
December 2024
Neurosurgery Department, Hospital Clínic Barcelona, Barcelona, Spain.
Cureus
September 2024
Pathophysiology, Arkansas College of Osteopathic Medicine, Fort Smith, USA.
Hydrocephalus is a broad term usually understood as cerebrospinal fluid (CSF) accumulation resulting in cerebral ventricular system expansion. The production of CSF is by the choroid plexus in lateral ventricles, flowing between the third and fourth ventricles and eventually to the subarachnoid space. It is critical for proper neuronal function.
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