Refractory epilepsy associated with ventriculoperitoneal shunt over-drainage: case report.
Endoscopic third ventriculostomy
Hydrocephalus
Over-drainage
Refractory epilepsy
Ventriculoperitoneal shunt
Journal
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
ISSN: 1433-0350
Titre abrégé: Childs Nerv Syst
Pays: Germany
ID NLM: 8503227
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
12
05
2019
accepted:
02
09
2019
pubmed:
8
9
2019
medline:
27
10
2020
entrez:
8
9
2019
Statut:
ppublish
Résumé
Epilepsy and intracranial pressure (ICP) can be interrelated. While shunt malfunction is recognized as a cause of seizures, shunt over-drainage is seldom reported as such. We report a child who had undergone ventriculoperitoneal shunt insertion at the age of 6 months following an excision of a left ventricle choroid plexus papilloma, who developed refractory epilepsy since the age of 3 years. An MRI showed small ventricles. The child presented with acute hydrocephalus due to proximal shunt malfunction at the age of 11 years and was treated with an endoscopic third ventriculostomy. Following the procedure, the seizures abated. Our case suggests that intractable epilepsy may be related to intracranial hypotension. Potential treatments for shunt over-drainage may be indicated even in the absence of classic over-drainage symptoms, in the presence of refractory epilepsy.
Identifiants
pubmed: 31492981
doi: 10.1007/s00381-019-04367-x
pii: 10.1007/s00381-019-04367-x
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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