Hydrocephalus in Myelomeningocele: Shunts and Problems with Shunts

Vinchon, Matthieu; Dhellemmes, P

doi:10.1007/978-88-470-0651-5_17

Cited by 7 publications

(6 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2). 10 Some patients with MM without hydrocephalus at birth may develop ventricular enlargement as a result of surgical repair of MM, as presented in our case. 1 In other cases, the prenatal ventriculomegaly does not progress over time despite the presence of elevated intracranial pressure.…”

Section: Discussionmentioning

confidence: 55%

“…1 In other cases, the prenatal ventriculomegaly does not progress over time despite the presence of elevated intracranial pressure. 10 In such cases the problem revolves around the so called "contained hydrocephalus" that is a matter of debate due to the possibility of developing late fatal complications related to non-treated patients and risks associated with shunting. 11 The avoidance of shunt placement may have devastating effect on the development of such patients.…”

Section: Discussionmentioning

confidence: 99%

“…11 The avoidance of shunt placement may have devastating effect on the development of such patients. 10 Based on this belief, we decided to shunt our patient.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Myelomeningocele with Associated Anomalies – Case Report and Literature Review

Kitov

Kehayov

2019

View full text Add to dashboard Cite

Myelomeningocele is a common defect of the development of the neural tube. It is a complex congenital malformation of the central nervous system (CNS) that can be associated with other concurrent anomalies. We report on a case of lumbar myelomeningocele with concomitant CNS malformations we followed up over a period of 15 years. A concise literature review has also been performed. The current report illustrates that the myelomeningocele is a complex anomaly that is commonly associated with a variety of other CNS malformations such as hydrocephalus and Chiari malformation. It may follow chronic progressive course with exacerbation of clinical symptoms in the long term. Patients that have undergone surgical correction of this spinal defect should be closely monitored over a long period of time because of the possibility of clinical deterioration of the concomitant anomalies such as hydrocephalus, Chiari malformation and siryngomyelia.

show abstract

Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Myelomeningocele with Associated Anomalies – Case Report and Literature Review

Kitov

Kehayov

2019

View full text Add to dashboard Cite

show abstract

“…A single study on ETV in patients with myelomeningocele showed that the outcome after ETV was better in previously shunted patients with myelomeningocele (84%) than in those whose initial treatment of hydrocephalus had been with ETV (24%) [24]. The role of ETV in the management of hydrocephalus associated with myelomeningocele has been recently reproposed and discussed by different authors [25,26,27]. On the other hand, Hader et al [19] reported a mean operative morbidity ranging from 1.6 to 31%, which is significantly higher than that for primary ETV.…”

Section: Discussionmentioning

confidence: 99%

“…Many papers have also reported good results for ETV in the management of VP shunt malfunction [8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23] and in patients affected by myelomeningocele [24,25,26,27]. Although ETV is thought to be safe, various complications due to damage to neural and vascular structures have been reported [4,9,11,15,16,19,28,29,30,31,32,33].…”

Section: Case Reportmentioning

confidence: 99%

Amenorrhea after Endoscopic Third Ventriculostomy for a Failed Shunt in Spina Bifida: Case Report and Review of the Literature

Spacca¹,

Danti²,

Taverna³

et al. 2015

Pediatr Neurosurg

View full text Add to dashboard Cite

Background: Secondary endoscopic third ventriculostomy (ETV) for the management of shunt failure may be efficacious, though it may be followed by more frequent complications (including endocrinological impairment, e.g. amenorrhea) compared to primary ETV. These complications are usually underreported in the literature. Aim: We report a case of secondary amenorrhea after ETV for the management of shunt failure in a young woman with hydrocephalus associated with myelomeningocele. Methods: A 25-year-old woman affected by hydrocephalus and myelomeningocele was admitted for secondary ETV for the management of shunt failure. The endoscopic procedure was preferred over shunt revision based on good results of secondary ETV, especially in patients with hydrocephalus associated with Chiari II malformation and spina bifida. Results: Despite the surgery being uneventful, the patient had early (postoperative seizure) and late (secondary amenorrhea) complications. In the early postoperative period, she received external ventricular drainage followed by VP shunt reimplantation 2 weeks later. There was no neurological morbidity, but 1 month after the ETV she reported secondary amenorrhea and weight gain. Laboratory investigations ruled out hyperprolactinemia, which had been treated with cabergoline administration with no efficacy since the patient was still without regular periods 1 year later. Conclusion: ETV may be followed by endocrinological complications like amenorrhea that are rarely reported.

show abstract

Endoscopic Third Ventriculostomy in Children with Myelomeningocele: A Case Series

et al. 2015

View full text Add to dashboard Cite

Hydrocephalus develops in up to 80-90% of children with myelomeningocele (MM) after closure of the defect. Traditionally, ventriculoperitoneal shunts have been used to manage hydrocephalus in these patients. A role for endoscopic third ventriculostomy (ETV) in MM has provoked much debate, principally due to anatomical variants described, which may complicate the procedure. We present 7 cases of children with MM and hydrocephalus undergoing a total of 10 ETV procedures. All patients demonstrated clinical improvement (in acute/subacute cases) or stabilization (in chronic cases). Three patients requiring a second ETV have shown clinical stability and renewed radiological evidence of functioning ventriculostomies in follow-up since reintervention. ETV can be used, albeit cautiously, in selected cases of hydrocephalus associated with MM. However, the frequency with which anatomical variation is encountered and the difficulty of the assessment of success make the procedure more challenging than usual.

show abstract

Hydrocephalus in Myelomeningocele: Shunts and Problems with Shunts

Cited by 7 publications

References 40 publications

Myelomeningocele with Associated Anomalies – Case Report and Literature Review

Myelomeningocele with Associated Anomalies – Case Report and Literature Review

Amenorrhea after Endoscopic Third Ventriculostomy for a Failed Shunt in Spina Bifida: Case Report and Review of the Literature

Endoscopic Third Ventriculostomy in Children with Myelomeningocele: A Case Series

Contact Info

Product

Resources

About

Hydrocephalus in Myelomeningocele: Shunts and Problems with Shunts

Cited by 7 publications

References 40 publications

Myelomeningocele with Associated Anomalies &ndash; Case Report and Literature Review

Myelomeningocele with Associated Anomalies &ndash; Case Report and Literature Review

Amenorrhea after Endoscopic Third Ventriculostomy for a Failed Shunt in Spina Bifida: Case Report and Review of the Literature

Endoscopic Third Ventriculostomy in Children with Myelomeningocele: A Case Series

Contact Info

Product

Resources

About

Myelomeningocele with Associated Anomalies – Case Report and Literature Review

Myelomeningocele with Associated Anomalies – Case Report and Literature Review