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Child's Nervous System
Published in: Child's Nervous System 1/2018

01-01-2018 | Case Report

Infected multilocular hydrocephalus treated by rigid and flexible endoscopes with electromagnetic-guided neuronavigation: a case report

Authors: Ryuji Ishizaki, Yuzuru Tashiro

Published in: Child's Nervous System | Issue 1/2018

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Abstract

Background

Endoscopic surgery assisted by a navigation system has greatly aided treatment of infected multilocular hydrocephalus, especially in children.

Case report

We describe a 2-year-old boy with multilocular hydrocephalus caused by repeated shunt infection, presenting with fever and vomiting. Magnetic resonance images (MRI) showed extraventricular cysts and severe ventricular deformity. There were three ventriculoperitoneal shunts and one residual ventricular catheter. With a flexible endoscope, we fenestrated the wall of extraventricular cysts and removed the residual catheter. We then used a rigid endoscope to fenestrate ventricular components. Both procedures were guided by electromagnetic (EM) navigation, and hydrocephalus was controlled with one ventricular catheter.

Conclusion

We have successfully treated a case suffered from infected multilocular hydrocephalus in infants using rigid and flexible endoscopes combined with EM navigation.
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Metadata
Title
Infected multilocular hydrocephalus treated by rigid and flexible endoscopes with electromagnetic-guided neuronavigation: a case report
Authors
Ryuji Ishizaki
Yuzuru Tashiro
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 1/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3585-9

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