| Hydrocephalus in an achondroplastic child treated by venous decompression at the jugular foramen. Case report. | |
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MedLine Citation:
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PMID: 2352015 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 10-month-old child with achondroplasia with progressive head enlargement, ventriculomegaly, and wide subarachnoid spaces over the hemispheres was referred for evaluation. A steady-state lumbar infusion test revealed increased cerebrospinal fluid (CSF) outflow resistance (14 mm Hg/ml/min), and intra-arterial digital subtraction angiography (DSA) demonstrated bilateral venous outflow obstruction due to stenosis of the jugular foramen. Surgical decompression by opening the right jugular foramen relieved the clinical signs of intracranial hypertension. During the following year, the patient's head enlargement was moderate with relative normalization of size. Repeat DSA demonstrated improved venous runoff on the right side, and a steady-state lumbar infusion test demonstrated reduced CSF outflow resistance (10 mm Hg/ml/min). Venous decompression is causal therapy and may prove to be preferable to shunting in children with hydrocephalus and bilateral stenosis of the jugular foramen. |
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Authors:
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T Lundar; S J Bakke; H Nornes |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 73 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 1990 Jul |
Date Detail:
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Created Date: 1990-07-18 Completed Date: 1990-07-18 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 138-40 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurosurgery, National Hospital, University of Oslo, Norway. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Achondroplasia
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complications*,
pathology,
physiopathology,
radiography Cerebrospinal Fluid Pressure Humans Hydrocephalus / complications*, pathology, radiography, surgery Infant Male Subarachnoid Space / pathology, radiography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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