An Analysis of Outcome of Endoscopic Fenestration of Cavum Septum Pellucidum Cyst - More Grey than Black and White?
Conclusions: (1) Endoscopic fenestration of symptomatic CSP cysts is a safe treatment option. (2) Neurocognitive assessment is essential in the evaluation and outcome assessment of CSP.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - June 15, 2017 Category: Neurosurgery Source Type: research

Cervical Spine Aneurysmal Bone Cysts in the Pediatric Population: A Systematic Review of the Literature
Cervical spine aneurysmal bone cysts (ABCs) in pediatric patients have not been thoroughly studied. Using PubMed and Google Scholar, a systematic review of the literature was conducted for publications that included patients aged ≤15 years with a confirmed diagnosis of ABC in the cervical spine. Thirty-five studies with a total of 71 patients met the inclusion criteria. Nearly 80% of patients presented with neck or shoulder pain. The axis was the level most frequently involved (34.28%), followed by C5 (24.28%). Posterior e lements were most likely to be affected (88.46%) while exclusive involvement of the body was uncom...
Source: Pediatric Neurosurgery - June 12, 2017 Category: Neurosurgery Source Type: research

Disappearance of the Hemorrhagic Component of the Frontal Contusion Possibly due to Redistribution of the Hematoma within the Subarachnoid Space: A Case Report
We present a patient in whom the hemorrhagic component of her contusion resolved spontaneously over a period of 24 h after injury. The rarity of this case prompted us to this study.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - June 9, 2017 Category: Neurosurgery Source Type: research

Survey of Techniques Utilized to Access Ventricular Shunts and Reservoirs
Conclusions: There is great variation in the technique for accessing shunts and VADs. Future studies are needed to assess whether these discrepancies affect infection rates.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - June 2, 2017 Category: Neurosurgery Source Type: research

Pial Arteriovenous Fistula and Capillary Malformation-Arteriovenous Malformation Associated with RASA1 Mutation: 2 Pediatric Cases with Successful Surgical Management
We present case reports of 2 pediatric patients who were both found to have pial arteriovenous fistulas (AVFs) with subsequent genetic analysis revealing mutations in theRASA1 gene. Considering their family history of distinct cutaneous lesions, these mutations were likely inherited as opposed to de novo mutations. Patient 1 had large capillary malformations on the left side of the face and neck, associated with macrocephaly, and presented at the age of 32 months with speech delay, right-sided weakness, and focal seizures involving the right side of the body. Patient 2 presented with proptosis at the age of 9 months, but w...
Source: Pediatric Neurosurgery - May 31, 2017 Category: Neurosurgery Source Type: research

Life-Threatening Intracerebral Hemorrhage in Previously Undiagnosed Acute T-Cell Lymphoblastic Leukemia with Blast Crisis: A Nightmare in Neurosurgeon's Life
We report a case of life-threatening intracerebral hemorrhage in previously undiagnosed acute T-cell lymphoblastic leukemia with blast crisis, in which the patient was salvaged from the catastrophic complication after surgical intervention.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 31, 2017 Category: Neurosurgery Source Type: research

Pial Arteriovenous Fistula and Capillary Malformation-Arteriovenous Malformation Associated with < b > < i > RASA1 < /i > < /b > Mutation: 2 Pediatric Cases with Successful Surgical Management
We present case reports of 2 pediatric patients who were both found to have pial arteriovenous fistulas (AVFs) with subsequent genetic analysis revealing mutations in theRASA1 gene. Considering their family history of distinct cutaneous lesions, these mutations were likely inherited as opposed to de novo mutations. Patient 1 had large capillary malformations on the left side of the face and neck, associated with macrocephaly, and presented at the age of 32 months with speech delay, right-sided weakness, and focal seizures involving the right side of the body. Patient 2 presented with proptosis at the age of 9 months, but w...
Source: Pediatric Neurosurgery - May 30, 2017 Category: Neurosurgery Source Type: research

Vertebral Artery Dissection in a Bouncy Castle Injury: Case Report and Literature Review
There is an increased rate of injuries associated with activities on bouncy castles. The purpose of this article was to describe the case of a 6-year-old boy who sustained a brain infarct as a consequence of a left posterior inferior cerebellar artery dissection due to improper landing in a bouncy castle and who required a suboccipital craniotomy. The second goal was to outline the literature review regarding cervical trauma related to trampoline or bouncy castle accidents in pediatric populations. Based on the described case and reviewed studies, bouncy castle or any other activity resulting in hyperflexion or hyperextens...
Source: Pediatric Neurosurgery - May 29, 2017 Category: Neurosurgery Source Type: research

Treatment Outcome in Patients with Primary Central Nervous System Germ Cell Tumour: Clinical Experience from a Regional Cancer Centre in North India
Conclusion: Multimodality treatment consisting of limited resection followed by platinum-based systemic chemotherapy and radiotherapy (40-50 Gy) is a reasonable treatment strategy in patients of primary central nervous system germ cell tumour in a developing nation.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 24, 2017 Category: Neurosurgery Source Type: research

The First Case of Kernohan-Woltman Notch Phenomenon Caused by Epidural Hematoma in a Pediatric Patient
In this study, we present the first pediatric case of KWNP caused by a traumatic epidural hematoma. Although subdural hematomas are the most frequent reason for KWNP, epidural hematomas may cause paradoxical ipsilateral signs not only in adults but also in pediatric patients.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 24, 2017 Category: Neurosurgery Source Type: research

Cerebellar Glioblastoma in a Child
Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 23, 2017 Category: Neurosurgery Source Type: research

Congenital Salivary Gland Anlage Tumor: An Unusual Anterior Skull Base Mass in the Neonatal Period
We report a unique case of SGAT extending through the anterior skull base and discuss the differential diagnosis and management of this unusual entity.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - May 11, 2017 Category: Neurosurgery Source Type: research

Growing Skull Fracture and the Orbitocranial Variant: Nuances of Surgical Management
Conclusions: Duraplasty is essential in the repair of GSF and should be followed by cranioplasty to prevent recurrent leptomeningeal herniation. We recommend the use of autologous bone from the surgical site for cranioplasty. Orbital roof repair is advisable for good visual and cosmetic outcome in orbitocranial variants of GSF.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - April 20, 2017 Category: Neurosurgery Source Type: research

Moyamoya in a Patient with Smith-Magenis Syndrome
We report a second case of moyamoya in a patient with SMS, in a now 25-year-old Asian female diagnosed with both conditions as a child. In addition to describing her medical and surgical history, we provide a detailed report of her omental transposition, in which the omental circulation was anastomosed to the superior thyroid artery and external jugular vein. To our knowledge, this is the first report of omental transposition for moyamoya in which omental vessels are anastomosed to vessels in the neck, as well as the second report of moyamoya in a patient with SMS.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - April 5, 2017 Category: Neurosurgery Source Type: research

Extensive Multilevel Split Laminotomy for Debulking a Cervicothoracolumbar Nondysraphic Intramedullary Spinal-Cord Lipoma in a 2-Month-Old Infant
Conclusion: For multilevel posterior exposure of the spinal canal, split laminotomy is an alternative that can provide adequate exposure for midline lesions without disrupting the paraspinal musculature. Longer-segment exposures, especially spanning the cervical to lumbar levels, may still elicit kyphosis and scoliosis. As such, long-term follow-up remains necessary.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 23, 2017 Category: Neurosurgery Source Type: research

Conservative Management of Large Traumatic Supratentorial Epidural Hematoma in the Pediatric Population
Conclusion: Conservative management with close observation is a safe alternative even in this population of voluminous hematomas. Injury velocity may be a contributing factor for failure of conservative management in this population.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 23, 2017 Category: Neurosurgery Source Type: research

Unilateral Postoperative Deep Cerebral Venous Thrombosis with Complete Recovery: A Report of 2 Cases
We report 2 children with unilateral postoperative ICV thrombosis; in 1 of the patients the vein of Galen was also thrombosed. Although both patients had altered sensorium initially, no anticoagulation therapy was given, and they both recovered well. When approaching thalamic or intraventricular lesions, extra care should be taken to prevent injury to the ICV and the vein of Galen. The surgeon should respect the deep brain venous system when approaching midline structures. Both the neurosurgeon and the neuroradiologist should be aware of this possible complication in order to make a prompt diagnosis and to offer proper tre...
Source: Pediatric Neurosurgery - March 21, 2017 Category: Neurosurgery Source Type: research

Molecular Basis of Distant Medulloblastoma Recurrence
Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 15, 2017 Category: Neurosurgery Source Type: research

Cerebral Proliferative Angiopathy in a Child
Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 14, 2017 Category: Neurosurgery Source Type: research

Announcements
Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - March 8, 2017 Category: Neurosurgery Source Type: research

Cerebrospinal Fluid Shunting Complications in Children
This article provides an overview of the mechanisms of CSF shunt failure for the 3 most commonly employed definitive CSF shunts in the practice of pediatric neurosurgery: ventriculoperitoneal, ventriculopleural, and ventriculoatrial. The text has been partitioned into the broad modes of shunt failure: obstruction, infection, mechanical shunt failure, overdrainage, and distal catheter site-specific failures. Clinical management strategies for the various modes of shunt failure are discussed as are research efforts directed towards reducing shunt complication rates. As it is unlikely that CSF shunting will become an obsolete...
Source: Pediatric Neurosurgery - March 1, 2017 Category: Neurosurgery Source Type: research

Midbrain Gliofibroma Presenting in Adulthood following “Cure” of a Childhood Intraventricular Pilocytic Astrocytoma
This report describes the case of a gliofibroma occurring in a young adult 10 years after treatment for a childhood pilocytic astrocytoma.Case: A 14-year-old female underwent complete resection of a right lateral ventricle pilocytic astrocytoma confirmed on postoperative magnetic resonance imaging (MRI). At the age of 17, the tumour recurred, and a second complete resection was performed. Due to the early recurrence, she was placed on long-term MRI surveillance. At the age of 23, an enhancing left midbrain tumour was identified that was suspected to be a recurrent pilocytic astrocytoma. Following surgical resection the his...
Source: Pediatric Neurosurgery - February 28, 2017 Category: Neurosurgery Source Type: research

Pediatric Hangman's Fracture: A Comprehensive Review
Conclusions: Traumatic spondylolisthesis of the axis in children requires further investigation due to the current emphasis in the literature on adult clinical findings and diagnostic challenges from the developmental immaturity of the pediatric skeleton.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - February 23, 2017 Category: Neurosurgery Source Type: research

Transfrontal and Transsphenoidal Approaches to Pediatric Craniopharyngioma: A National Perspective
This study compared transsphenoidal (TS) and transfrontal (TF) approaches to craniopharyngioma utilizing a national database.Methods: The Kids' Inpatient Database (2003, 2006, and 2009) was surveyed for patients with a diagnosis of craniopharyngioma who underwent a subset of surgical interventions to compare TS and TF surgery. Demographics, hospital variables, and complications/comorbidities were analyzed with multivariate regression.Results: 314 admissions (TS = 104, TF = 210) were identified. The mean age was 14.8 (TS) versus 9.8 (TF) years (p (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - February 22, 2017 Category: Neurosurgery Source Type: research

Unusual Occurrence of Multifocal Desmoplastic Infantile Astrocytoma: A Case Report and Review of the Literature
We report an unusual case of an 8-month-old female infant diagnosed with multifocal (cranial and spinal) DIA and obstructive hydrocephalus and discuss the radiological and histological features of this rare variant of DIA. The patient underwent ventriculoperitoneal shunt placement to relieve the hydrocephalus, excisional biopsy from a surfacing lesion in the right frontal lobe, and multiple cycles of chemotherapy; however, the lesions continued to progress, and the patient is likely to have an unfavorable outcome.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - February 21, 2017 Category: Neurosurgery Source Type: research

Skull Base and Cervical Spine Involvement in Jansen Syndrome: Case Report
Conclusions: To our knowledge, this case represents the first report of involvement of the superior cervical spine in a patient with JMD. Clinicians should be aware of this potential albeit rare finding.Pediatr Neurosurg 2017;52:140-143 (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - February 21, 2017 Category: Neurosurgery Source Type: research

Simultaneous Umbilical Hernia Repair with Transumbilical Ventriculoperitoneal Shunt Placement
Conclusions: To our knowledge, simultaneous repair of an umbilical hernia followed by transumbilical shunt placement has not been reported. As umbilical hernias are so common in infants, this finding, based on our experience, should not exclude placement of peritoneal tubing in the same setting.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - February 16, 2017 Category: Neurosurgery Source Type: research

Extra-Axial Cerebellopontine Angle Medulloblastoma in an Infant
We report an extra-axial cerebellopontine anglemedulloblastoma in a 1-year-old child.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - February 13, 2017 Category: Neurosurgery Source Type: research

Neural Stem Cells and Fetal-Onset Hydrocephalus
Fetal-onset hydrocephalus is not only a disorder of cerebrospinal fluid (CSF) dynamics, but also a brain disorder. How can we explain the inborn and, so far, irreparable neurological impairment in children born with hydrocephalus? We hypothesize that a cell junction pathology of neural stem cells (NSC) leads to two inseparable phenomena: hydrocephalus and abnormal neurogenesis. All neurons, glial cells, and ependymal cells of the mammalian central nervous system originate from the NSC forming the ventricular zone (VZ) and the neural progenitor cells (NPC) forming the subventricular zone. Several genetic mutations and certa...
Source: Pediatric Neurosurgery - January 26, 2017 Category: Neurosurgery Source Type: research

Real-Time Ultrasound-Guided Catheter Navigation for Approaching Deep-Seated Brain Lesions: Role of Intraoperative Neurosonography with and without Fusion with Magnetic Resonance Imaging
Conclusions: Use of real-time ultrasound guidance to place a catheter to aid in the dissection to reach a deep-seated brain lesion provides advantages complementary to existing techniques, such as frameless stereotaxy. The catheter insertion technique described here provides a quick, accurate, and safe method for reaching deep-seated lesions.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - January 19, 2017 Category: Neurosurgery Source Type: research

Advanced Neuroimaging Techniques in Pediatric Hydrocephalus
From the early days of pneumoencephalography and ventriculography to the emerging technology of magnetic resonance diffusion tensor imaging (DTI) of the present day, neuroimaging has always been a critical tool in the diagnosis and treatment of pediatric hydrocephalus. There is accumulating evidence from both human and animal research suggesting that one of the major pathophysiological mechanisms underlying poor outcomes in these children is damage to vulnerable white matter (WM) structures in the brain as a result of ventricular enlargement and increased intracranial pressure. However, a clear understanding of these WM ab...
Source: Pediatric Neurosurgery - January 17, 2017 Category: Neurosurgery Source Type: research

Sinus Thrombosis after Endovascular Treatment of Vein of Galen Aneurysmal Malformation
Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - January 16, 2017 Category: Neurosurgery Source Type: research

Surgery: Modified Pi with Triple-Bonnet Flap and Fronto-Orbital Advancement
Conclusion: The technical variation can be applied to any case of pansynostosis requiring cranial vault reconstruction.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - January 6, 2017 Category: Neurosurgery Source Type: research

New Concepts of Cerebrospinal Fluid Physiology and Development of Hydrocephalus
The goal of this review is the presentation of the new (Bulat-Klarica-Ore šković) hypothesis of cerebrospinal fluid (CSF) physiology and the ensuing new concept of hydrocephalus development in light of this hypothesis. The widely accepted classic hypothesis of CSF physiology and the traditional concept of hydrocephalus are contradicted by numerous experimental and clini cal data, which consequently results in unsatisfying clinical treatment and patient recovery. Therefore, the newly presented concept of hydrocephalus development and possible future treatments are discussed. A new definition suggests that hydrocepha...
Source: Pediatric Neurosurgery - December 22, 2016 Category: Neurosurgery Source Type: research

The Global Rise of Endoscopic Third Ventriculostomy with Choroid Plexus Cauterization in Pediatric Hydrocephalus
In the quest to identify the optimal means of cerebrospinal fluid diversion free of shunt dependency, endoscopic third ventriculostomy (ETV) with choroid plexus cauterization (CPC) has been proposed as a promising procedure in select children. Supplementing traditional ETV with obliteration of the choroid plexus has been shown to decrease the likelihood of ultimate shunt dependency by roughly 20%. Originally devised to treat hydrocephalus in infants in sub-Saharan Africa, ETV/CPC has gained eager attention and cautious support in the developed world. Herein, we offer a comprehensive review of ETV/CPC beginning with the his...
Source: Pediatric Neurosurgery - December 22, 2016 Category: Neurosurgery Source Type: research

Aquaporin Water Channels and Hydrocephalus
The aquaporins (AQPs) are a family of water-transporting proteins that are broadly expressed in mammalian cells. Two AQPs in the central nervous system, AQP1 and AQP4, might play a role in hydrocephalus and are thus potential drug targets. AQP1 is expressed in the ventricular-facing membrane of choroid plexus epithelial cells, where it facilitates the secretion of cerebrospinal fluid (CSF). AQP4 is expressed in astrocyte foot processes and ependymal cells lining ventricles, where it appears to facilitate the transport of excess water out of the brain. Altered expression of these AQPs in experimental animal models of hydroc...
Source: Pediatric Neurosurgery - December 15, 2016 Category: Neurosurgery Source Type: research

A Retrospective Analysis of Neonatal Encephalocele Predisposing Factors and Outcomes
Conclusions: The study identified key areas for prevention. Knowledge of the intracranial and associated anomalies can guide management.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - December 8, 2016 Category: Neurosurgery Source Type: research

Cranioplasty after Craniectomy in a Pediatric Population: Single-Center Experience from a Developing Country
Cranioplasty is a frequently performed procedure in neurosurgery. The pediatric population for this procedure is distinct from the adult one because of the growing skulls and thinner bones of the calvarium. A paucity of data on the outcomes of this procedure in the pediatric population has been identified repeatedly. We conducted a retrospective cohort study to investigate the outcomes in a pediatric population that underwent cranioplasty after craniectomy at our institute in a developing-world country. Our cohort showed no association of complication rate or cosmetic outcomes with the timing of cranioplasty, area of skull...
Source: Pediatric Neurosurgery - December 8, 2016 Category: Neurosurgery Source Type: research

Pediatric Primary Diffuse Leptomeningeal Primitive Neuroectodermal Tumor: A Case Report and Literature Review
Conclusion: Primary leptomeningeal PNET is an extremely rare disease. Optimal treatment is not well established, and the prognosis is very poor.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - December 7, 2016 Category: Neurosurgery Source Type: research

Skull Subsidence due to Periosteum Defect following Craniotomy in a Child
We report a case of a 7-year-old child with a cranial deformity secondary to a craniotomy for an intracranial hematoma. He suffered from an acute epidural hematoma with a lineal fracture of the right temporal bone following a severe head injury. A large question mark-shaped skin flap with the periosteum and temporal muscle was created for a decompressive craniectomy; however, neither the acute epidural hematoma nor brain swelling was severe, and we performed a small craniotomy compared with the skin flap without a decompressive craniectomy. Eighteen months after the operation, he complained of skull deformity with a mild d...
Source: Pediatric Neurosurgery - December 7, 2016 Category: Neurosurgery Source Type: research

Intraoperative Tumoral Bleeding of Hypervascular Medulloblastoma after Ventricular Drainage: A Case Report
We report a rare case of intraoperative tumoral bleeding of a hypervascular medulloblastoma. A 12-year-old girl presented with dizziness and nausea. Brain magnetic resonance (MR) images revealed an approximately 4.2-cm enhanced mass on the cerebellar vermis associated with mild perilesional edema and increased cerebral blood volume. Angiography showed tumoral staining and developed occipital and circular dural sinuses in the venous phase. A suboccipital craniotomy was performed. To relieve the intracranial pressure, cerebrospinal fluid (CSF) was drained via a lateral ventricular catheter in the occipital horn. During the o...
Source: Pediatric Neurosurgery - December 7, 2016 Category: Neurosurgery Source Type: research

Rapid Brain Shift with Remote-Site Haemorrhage after Arachnoid Cyst Excision: Treatment Dilemmas
We describe a case of multiple remote-site intra-parenchymal haemorrhage as a rare complication after surgical decompression of a sylvian fissure arachnoid cyst.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - December 3, 2016 Category: Neurosurgery Source Type: research

Intraventricular Tuberculoma in a Child: A Rare Location
We report a case of tuberculoma at the foramen of Monro in a 7-year-old child and review the literature in terms of diagnostic dilemma.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - December 3, 2016 Category: Neurosurgery Source Type: research

Perifocal Inflammatory Reaction with Volume Fluctuation Caused by Diagnostic Radiation-Induced Regression in Germinoma Makes Histological Diagnosis Difficult despite Its Disappearance following Treatment: A Significant Pitfall and Countermeasures to It
We present a pediatric case of neurohypophyseal germinoma with a perifocal inflammatory reaction (PIR) with volume fluctuation caused by diagnostic radiation-induced regression (DRIR). On-target biopsy failed to confirm the histology because PIR hardly contained any germinoma cells. DRIR-related fluctuation of the tumor volume disguised germinoma as inflammation. We analyzed the cerebrospinal fluid (CSF) and detected a high level of placental alkaline phosphatase (PLAP), which demonstrated the neurohypophyseal lesion to be germinoma and brought the patient from successful radiochemotherapy up to complete remission. PIR adj...
Source: Pediatric Neurosurgery - November 10, 2016 Category: Neurosurgery Source Type: research

Historical Perspective of Split Cord Malformations: A Tale of Two Cords
Conclusions: SCM has a rich history and has intrigued physicians for over 200 years. Many well-known figures from the past such as Chiari and von Recklinghausen, both pathologists, made early postmortem descriptions of SCM. With the advent of MRI, these pathological embryological derailments can now often be detected and appreciated early and during life. Our understanding and ability to treat these congenital malformations as well as the terminology used to describe them have changed over the last several decades.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - November 2, 2016 Category: Neurosurgery Source Type: research

A Case of Metachronous Single Metastasis of Medulloblastoma to the Lateral Ventricle: De novo Lesion or Metastasis due to Reversed Cerebrospinal Fluid Flow following Ventriculoperitoneal Shunt?
Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - October 25, 2016 Category: Neurosurgery Source Type: research

Giant Hypothalamic Hamartoma in an Infant: A Case Report and Review of the Literature
We present the case of a 10-month-old girl child presenting with drug-resistant seizures and a giant hypothalamic lesion that was confirmed as hamartoma on histopathology. Surgical decompression and disconnection from the hypothalamus was performed with the intent of controlling her seizures. Unfortunately, the patient developed right middle cerebral artery and posterior cerebral artery territory infarction, possibly due to vasospasm or thrombosis of the vessels. The patient had a stormy postoperative course but has recovered well neurologically at the 18-month follow-up. Histopathological examination revealed abnormal clu...
Source: Pediatric Neurosurgery - October 25, 2016 Category: Neurosurgery Source Type: research

Contents Vol. 51, 2016
Pediatr Neurosurg 2016;51:I-IV (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - October 12, 2016 Category: Neurosurgery Source Type: research

Severe Acute Subdural Hemorrhages in a Patient with Glutaric Acidemia Type 1 under Recommended Treatment
We report a second case of life-threatening severe acute subdural hemorrhage after a minor head trauma in a patient with glutaric acidemia type 1. This patient was previously diagnosed by newborn screening, and treatment began at 25 days of age. Early diagnosis and guideline-recommended treatment produce better outcomes for patients with glutaric acidemia type 1, although the risk of subdural hemorrhage remains.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - October 11, 2016 Category: Neurosurgery Source Type: research

Correlating Prenatal Imaging Findings of Fetal Ventriculomegaly with the Need for Surgical Intervention in the First 3 Months after Birth
Conclusion: LV width is the prenatal imaging measurement that best predicts the need for postnatal CSF diversion.Pediatr Neurosurg (Source: Pediatric Neurosurgery)
Source: Pediatric Neurosurgery - September 28, 2016 Category: Neurosurgery Source Type: research