Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2013
Imaging the course of a hypoplastic cerebellum in a spina bifida newborn.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Kronenburg Annick, Han Kuo Sen, Gooskens Rob, Esposito Giuseppe, Cochrane Douglas, Woerdeman Peter
Аннотация
INTRODUCTION: We report about a spina bifida patient with myelomeningocele at the lumbar level L5, extensive Chiari malformation type II with vermal herniation reaching to C6 with downward pontine shift, and a severe hypoplastic cerebellum. Chromosomal diagnostic tests showed no abnormalities.
CASE REPORT: The infant experienced severe central apneas successfully treated with oxygen therapy and caffeine medication; functional motor level was established at L5 with sparse anal sphincter function.
DISCUSSION: After surgical intervention (myelomeningocele repair and ventriculoperitoneal shunt placement), these abnormalities significantly improved on radiological imaging; the preoperative hypoplastic, almost undetectable, cerebellum developed to a fair sized cerebellum. Apneas disappeared over time and the patient showed further developmental improvement. Herein, we illustrate and discuss the changes of the cerebellar volume before and after neurosurgical intervention.
CASE REPORT: The infant experienced severe central apneas successfully treated with oxygen therapy and caffeine medication; functional motor level was established at L5 with sparse anal sphincter function.
DISCUSSION: After surgical intervention (myelomeningocele repair and ventriculoperitoneal shunt placement), these abnormalities significantly improved on radiological imaging; the preoperative hypoplastic, almost undetectable, cerebellum developed to a fair sized cerebellum. Apneas disappeared over time and the patient showed further developmental improvement. Herein, we illustrate and discuss the changes of the cerebellar volume before and after neurosurgical intervention.
Предметные рубрики MeSH
Arnold-Chiari MalformationCerebellumDevelopmental DisabilitiesFemaleGestational AgeHumansInfant, NewbornMagnetic Resonance ImagingMeningomyeloceleMicrocephalyNervous System MalformationsNeural Tube DefectsNeurosurgical ProceduresSpinal DysraphismTreatment OutcomeUltrasonography, PrenatalVentriculoperitoneal Shunt