Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2012
Hydrocephalic fits: forgotten but not gone.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Phi Ji Hoon, Kim Seung-Ki, Kang Tae Hee, Wang Kyu-Chang
Аннотация
BACKGROUND: Hydrocephalic fit is a fatal complication of posterior fossa tumors that is uncommon in modern neurosurgical practices. As such, most primary physicians and neurosurgeons lack experience with hydrocephalic fits, which makes some patients vulnerable to this fatal condition. We analyzed the patterns of hydrocephalic fits that we have observed directly in our hospital or indirectly after referral to our institution.
METHODS: Eight patients who had a brain tumor and hydrocephalic fit before surgery were managed in our institution between 2001 and 2012. The clinical records and radiological data were reviewed and analyzed.
RESULTS: The patients were divided into two groups: One group included six classical patients who were under age 4, had a posterior fossa tumor, and succumbed rapidly after a hydrocephalic fit. The other group consisted of two teenage patients who had germ cell tumors in the third ventricle and had more favorable outcomes after extraventricular drainage (EVD). Missed brain tumor diagnosis, sedation for imaging studies, poor management of elevated intracranial pressure, referral delay, and neglect during referral and transportation contributed hydrocephalic fit development. Only one patient, a 16-year-old girl with a suprasellar germinoma, survived the hydrocephalic fit. Prompt institution of EVD may have helped her recover from the fit.
CONCLUSIONS: Early diagnosis and active preoperative intracranial pressure control are critical in preventing hydrocephalic fits. It is important that primary physicians, pediatricians, and neurosurgeons have a thorough knowledge of brain tumor symptomatology and hydrocephalic fit risks.
METHODS: Eight patients who had a brain tumor and hydrocephalic fit before surgery were managed in our institution between 2001 and 2012. The clinical records and radiological data were reviewed and analyzed.
RESULTS: The patients were divided into two groups: One group included six classical patients who were under age 4, had a posterior fossa tumor, and succumbed rapidly after a hydrocephalic fit. The other group consisted of two teenage patients who had germ cell tumors in the third ventricle and had more favorable outcomes after extraventricular drainage (EVD). Missed brain tumor diagnosis, sedation for imaging studies, poor management of elevated intracranial pressure, referral delay, and neglect during referral and transportation contributed hydrocephalic fit development. Only one patient, a 16-year-old girl with a suprasellar germinoma, survived the hydrocephalic fit. Prompt institution of EVD may have helped her recover from the fit.
CONCLUSIONS: Early diagnosis and active preoperative intracranial pressure control are critical in preventing hydrocephalic fits. It is important that primary physicians, pediatricians, and neurosurgeons have a thorough knowledge of brain tumor symptomatology and hydrocephalic fit risks.