Document Detail

Neurologic improvement following shunt placement for post-traumatic hydrocephalus in a child.
MedLine Citation:
PMID:  9689247     Owner:  NLM     Status:  MEDLINE    
Post-traumatic hydrocephalus (PTH) is a medical complication of traumatic brain injury (TBI). There have been numerous reports of functional gains after shunt placement for PTH in adults but only rare observations about children. In this report, we present a child with PTH who displayed dramatic neurologic improvement after shunting. A 7-year-old boy sustained a severe TBI in a motor vehicle accident. When admitted for rehabilitation, his eyes were spontaneously open and he withdrew all extremities to pain but failed to follow commands. In rehabilitation, he made slow, steady progress in his cognitive and physical abilities. A CT scan conducted two months post-injury revealed marked ventriculomegaly necessitating shunt placement. Post-surgery, he began to verbalize, and was oriented to personal information. This case suggests that in children as well as adults with severe TBI and limited cognitive recovery, the possibility of PTH should be considered.
B V Silver; J Chinarian
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric rehabilitation     Volume:  1     ISSN:  1363-8491     ISO Abbreviation:  Pediatr Rehabil     Publication Date:    1997 Apr-Jun
Date Detail:
Created Date:  1998-08-14     Completed Date:  1998-08-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9709256     Medline TA:  Pediatr Rehabil     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  123-6     Citation Subset:  IM    
Department for Neuropsychology, Institute of Rehabilitation and Research, Houston, Texas 77030-3405, USA.
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MeSH Terms
Accidents, Traffic
Brain / physiopathology*
Brain Injuries / complications*,  physiopathology,  rehabilitation
Cognition / physiology
Consciousness / physiology
Hydrocephalus / etiology,  radiography,  surgery*
Mental Processes / physiology*
Orientation / physiology
Psychomotor Performance / physiology
Tomography, X-Ray Computed
Ventriculoperitoneal Shunt*
Verbal Behavior / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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