المؤلفون: Karen Andrade Norremose, Manoel Jacobsen Teixeira, Hamilton Matushita, Matheus Fernandes de Oliveira, Edson Bor Seng Shu, Marcelo de Lima Oliveira, Fernando Campos Gomes Pinto

المصدر: Arquivos de Neuro-Psiquiatria v.73 n.12 2015
Arquivos de neuro-psiquiatria
Academia Brasileira de Neurologia
instacron:ABNEURO
Arquivos de Neuro-Psiquiatria, Volume: 73, Issue: 12, Pages: 1019-1025, Published: DEC 2015
Arquivos de Neuro-Psiquiatria, Vol 73, Iss 12, Pp 1019-1025 (2015)

مصطلحات موضوعية: Male, medicine.medical_specialty, derivações liquóricas, Meningomyelocele, myelomeningocele, macromolecular substances, Ventriculoperitoneal Shunt, lcsh:RC321-571, neurocirurgia, hidrocefalia, medicine, Humans, In patient, neurosurgery, Prospective Studies, Prospective cohort study, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Surgical repair, business.industry, Infant, medicine.disease, mielomeningocele, shunt, Transcranial Doppler, Surgery, Hydrocephalus, Shunt (medical), Treatment Outcome, medicine.anatomical_structure, Neurology, Ventricle, Female, Neurology (clinical), Neurosurgery, hydrocephalus, Tomography, X-Ray Computed, business

الوصف: Introduction Treatment of hydrocephalus is accomplished primarily through a ventricular-peritoneal shunt (VPS). This study aims to describe the application of retrograde ventricle-sinus shunt (RVSS) in patients with hydrocephalus after surgical treatment of myelomeningocele. Method A prospective, randomized and controlled pilot study. We consecutively enrolled 9 patients with hydrocephalus after surgical repair of myelomeningocele from January 2010 to January 2012. These patients underwent elective RVSS or VPS. Five underwent RVSS and 4 underwent VPS. Patients were followed for one year with quarterly evaluations and application of transcranial Doppler. Results RVSS group showed outcomes similar to those of VPS group. Doppler revealed significant improvement when comparing preoperative to postoperative period. RVSS group had significantly higher cephalic perimeter than VPS group. Neuropsychomotor development, complications and subjective outcomes did not differ between groups. Conclusion RVSS shunt is viable; it is an alternative option for the treatment of hydrocephalus. RESUMO O tratamento da hidrocefalia é realizado principalmente através de uma derivação ventrículo-peritoneal (DVP). Nosso objetivo é descrever a aplicação da derivação ventrículo-sinusal retrógrada (DVSR) em pacientes com hidrocefalia após o tratamento cirúrgico de mielomeningocele. Método Estudo prospectivo, randomizado e controlado. Selecionados consecutivamente 9 pacientes com hidrocefalia após correção cirúrgica de mielomeningocele de janeiro de 2010 a janeiro de 2012. Eles foram submetidos à DVSR ou DVP. Cinco foram submetidos à DVSR e 4 à DVP. Foram seguidos por 1 ano com realização trimestral de avaliações e aplicação do Doppler transcraniano. Resultados O grupo DVSR apresentou desfechos semelhantes ao grupo DVP. O Doppler mostrou melhora significativa quando comparado o pré-operatório com o pós-operatório. O grupo DVSR apresentou perímetro cefálico significativamente maior que o grupo DVP. O desenvolvimento neuropsicomotor e complicações não diferiram entre os grupos. Conclusão A derivação ventrículo-sinusal retrógrada é viável; ela é uma opção para o tratamento de hidrocefalia.

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الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::486388366bb4f00718d3038a10e3bdc8Test
https://doi.org/10.1590/0004-282x20150169Test

المؤلفون: Fernanda O. de Carvalho, Luciano da Silva Guimarães, José Francisco M. Salomão, Antonio Bellas

المصدر: Arquivos de Neuro-Psiquiatria, Vol 72, Iss 4, Pp 307-311 (2014)
Arquivos de Neuro-Psiquiatria v.72 n.4 2014
Arquivos de neuro-psiquiatria
Academia Brasileira de Neurologia
instacron:ABNEURO
Arquivos de Neuro-Psiquiatria, Volume: 72, Issue: 4, Pages: 307-311, Published: APR 2014

مصطلحات موضوعية: Male, Laparoscopic surgery, medicine.medical_specialty, Adolescent, Pediatric neurosurgery, medicine.medical_treatment, Peritonitis, Video-Assisted Surgery, Ventriculoperitoneal Shunt, lcsh:RC321-571, Peritoneal cavity, Risk Factors, hidrocefalia, medicine, Humans, ventriculoperitoneal shunt, Child, Laparoscopy, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Retrospective Studies, pseudocisto abdominal, medicine.diagnostic_test, business.industry, derivação ventrículo-peritoneal, Reproducibility of Results, cirurgia laparoscópica, Abdominal Cavity, medicine.disease, laparoscopic surgery, Hydrocephalus, Surgery, Shunt (medical), Shunting, Treatment Outcome, medicine.anatomical_structure, abdominal pseudocyst, Neurology, Child, Preschool, Retreatment, Female, Neurology (clinical), hydrocephalus, business, Follow-Up Studies

الوصف: Multiple shunt failure is a challenge in pediatric neurosurgery practice and one of the most feared complications of hydrocephalus. Objective: To demonstrate that laparoscopic procedures for distal ventriculoperitoneal shunt failure may be an effective option for patients who underwent multiple revisions due to repetitive manipulation of the peritoneal cavity, abdominal pseudocyst, peritonitis or other situations leading to a “non reliable” peritoneum. Method: From March 2012 to February 2013, the authors reviewed retrospectively the charts of six patients born and followed up at our institution, which presented with previous intra-peritoneal complications and underwent ventriculoperitoneal shunt revision assisted by video laparoscopy. Results: After a mean follow-up period of nine months, all patients are well and no further shunt failure was identified so far. Conclusion: Laparoscopy assisted shunt revision in children may be, in selected cases, an effective option for patients with multiple peritoneal complications due to ventriculo-peritoneal shunting. Múltiplas disfunções de derivações ventrículo-peritoneais em pacientes crônicos são complicações temidas no tratamento das hidrocefalias e um desafio na prática neurocirúrgica. Objetivo: Demonstrar que a abordagem laparoscópica para o tratamento das obstruções distais das derivações ventrículo-peritoneais é uma opção eficaz em pacientes submetidos a múltiplas revisões, manipulação repetitiva da cavidade abdominal, pseudocisto abdominal, peritonite ou outras complicações indutoras de peritônio “não confiável”. Método: Os autores revisaram retrospectivamente, de março de 2012 a fevereiro de 2013, os prontuários de seis pacientes nascidos e acompanhados em um hospital pediátrico, que apresentaram múltiplas complicações intraperitoneais e tiveram a revisão de derivações ventrículo-peritoneais assistida por videolaparoscopia. Resultados: Todos os pacientes melhoraram clinicamente e nenhuma outra disfunção foi identificada após um período de acompanhamento médio de 9 meses. Conclusão: Revisão distal de derivações ventrículo-peritoneais assistida por videolaparoscopia em crianças é, em casos selecionados, uma opção eficaz para pacientes crônicos com história de múltiplas complicações peritoneais.

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الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::361e9cdd5c4a31d3a0a5af8eddd3d289Test
https://doi.org/10.1590/0004-282x20140007Test

المؤلفون: Andréa Silva Pinho, José Gilberto de Brito Henriques, Geraldo Pianetti

المصدر: Arquivos de Neuro-Psiquiatria, Vol 61, Iss 2B, Pp 486-489 (2003)

مصطلحات موضوعية: medicine.medical_specialty, business.industry, derivação ventrículo-peritoneal, Neurosciences. Biological psychiatry. Neuropsychiatry, complicações, hidrocele, medicine.disease, Shunt (medical), Hydrocephalus, Surgery, Shunting, Inguinal hernia, Catheter, medicine.anatomical_structure, Neurology, Hydrocele, Scrotum, medicine, migração do cateter, Neurology (clinical), Complication, business, hérnia inguinal, RC321-571

الوصف: A derivação ventrículo-peritoneal (DVP) com válvula é o método de tratamento mais usado para o controle da hidrocefalia. Suas complicações mais frequentes são o mal funcionamento do sistema e infecções. O desenvolvimento de hérnia inguinal ou hidrocele em pacientes com DVP é condição pouco frequente e a migração do cateter abdominal para o saco escrotal é raramente descrita. A patência do processo vaginal, o aumento da pressão intra-abdominal pelo líquor e a idade do paciente são alguns dos fatores relacionados com a gênese deste tipo de complicação. Neste estudo é relatado caso de criança com hérnia inguino-escrotal desenvolvida após DVP com migração do cateter para o saco escrotal. São discutidas a revisão da literatura sobre o tema e a conduta a ser adotada.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::964309545985f99aa31de26eb1552cceTest
https://doi.org/10.1590/s0004-282x2003000300031Test

المؤلفون: Eduardo Goellner, Marcelo Ughini Crusius, Manfred Georg Bauermann, Paulo Sérgio Crusius, Jean Ragnini, Charles André Carazzo, Aline Vieira Lima, Cláudio Albano Seibert, Adroaldo Baseggio Mallmann, Cassiano Ughini Crusius, Gustavo Winkelmann, Luciano Bambini Manzato, Cassiano Mateus Forcelini, Denise Isabel Zandoná

المصدر: Arquivos de Neuro-Psiquiatria v.64 n.3b 2006
Arquivos de neuro-psiquiatria
Academia Brasileira de Neurologia
instacron:ABNEURO
Arquivos de Neuro-Psiquiatria, Volume: 64, Issue: 3b, Pages: 869-871, Published: SEP 2006

مصطلحات موضوعية: Adult, Male, Down syndrome, medicine.medical_specialty, Pediatrics, Ventriculoperitoneal Shunt, Congenital hydrocephalus, hidrocefalia, medicine, Humans, síndrome de Down, malformações, Pregnancy, business.industry, Chromosomal analysis, Genetic disorder, Infant, Newborn, medicine.disease, Hydrocephalus, Shunt (medical), Surgery, Head circumference, malformation, Neurology, Female, Neurology (clinical), Down Syndrome, business, hydrocephalus

الوصف: Down syndrome is the most frequent genetic cause of mental retardation. Although usually presenting dysmorphic features and organ malformations, it is rarely associated with congenital hydrocephalus. The case of male neonate whose hydrocephalus was detected since the pregnancy and was discovered to have the syndrome at birth is reported. Chromosomal analysis confirmed the genetic disorder, and hydrocephalus was treated with ventriculoperitoneal shunt because of abnormal increase of head circumference. The patient has been accompanied and his development is considered normal when compared to the expected for those affected by the syndrome. A síndrome de Down é a causa genética mais freqüente de retardo mental. Embora comumente apresentando dismorfias e malformações de órgãos, raramente está associada à hidrocefalia congênita. O caso de um recém-nascido masculino cuja hidrocefalia foi detectada desde a gravidez e que se descobriu ser portadora da síndrome ao nascimento é relatado. O cariótipo confirmou a anormalidade genética, e a hidrocefalia foi tratada com derivação ventriculoperitoneal devido ao aumento anormal do perímetro cefálico. O paciente está sendo acompanhado e seu desenvolvimento é considerado normal quando comparado ao esperado para os portadores da síndrome.

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الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::684fe735424045cdb22a36bcc688f24aTest
https://pubmed.ncbi.nlm.nih.gov/17057901Test

المؤلفون: José Alberto Gonçalves da Silva, Valdir Delmiro Neves, José Correia de Farias Brito, Paulo Virgolino da Nóbrega

المصدر: Arquivos de Neuro-Psiquiatria, Vol 56, Iss 3B, Pp 621-628 (1998)
Arquivos de Neuro-Psiquiatria v.56 n.3B 1998
Arquivos de neuro-psiquiatria
Academia Brasileira de Neurologia
instacron:ABNEURO

مصطلحات موضوعية: medicine.medical_specialty, Neurosciences. Biological psychiatry. Neuropsychiatry, Fourth ventricle, Cerebellar haemorrhage, Congenital hydrocephalus, lcsh:RC321-571, medicine, Intraventricular cyst, Cyst, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, business.industry, quarto ventrículo isolado, cisto de Dandy-Walker, Anatomy, medicine.disease, Shunt (medical), Surgery, Shunting, medicine.anatomical_structure, Neurology, hemorragia cerebelar, Ventricle, hidrocéfalo de duplo compartimento, Neurology (clinical), business, RC321-571

الوصف: Two cases of isolated fourth ventricle are reported, the first due to cerebellar haemorrhage, and the second due to congenital hydrocephalus with multiple shunt revisions and Dandy-Walker cyst. In our opinion, there are two basic treatment for isolated forth ventricle. The direct approach to the fourth ventricle is indicated when there is presence of an intraventricular cyst. The fourth ventricular shunting, independent of the supratentorial shunt, is the best treatments for patients with an isolated fourth ventricle without the presence of a cyst.

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الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e7df35a2f4ca4a3c8f7e9905d5073082Test
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000400016Test

المؤلفون: Andrei Fernandes Joaquim, Sergio Cavalheiro, Andrea Vieira Amantéa, Marcelo Luis Mudo

المساهمون: Universidade Federal de São Paulo (UNIFESP), Universidade Estadual de Campinas (UNICAMP)

المصدر: Repositório Institucional da UNIFESP
Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
Arquivos de Neuro-Psiquiatria v.67 n.3a 2009
Arquivos de neuro-psiquiatria
Academia Brasileira de Neurologia
instacron:ABNEURO

مصطلحات موضوعية: Adult, medicine.medical_specialty, Silicon, Ventriculoperitoneal shunting, Distal catheter, Breast Implants, Ventriculoperitoneal Shunt, law.invention, Catheters, Indwelling, Foreign-Body Migration, law, medicine, Humans, Silicone breast implant, business.industry, medicine.disease, Shunt (medical), Surgery, Hydrocephalus, Equipment failure, Catheter, Neurology, Breast implant, Equipment Failure, Female, Neurology (clinical), business

الوصف: Ventriculoperitoneal (VP) shunt is a common form of treatment for hydrocephalus. Although simple technically, a high level of surgical complications have been described1,2. We reported a case of ventriculoperitoneal shunt failure due to migration of the distal catheter under a silicone breast implant […] Distal migration of ventriculoperitoneal shunting catheter under silicon breast implant

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الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::51e1b87f6edaabce35b3a9a88c5d1b5fTest
https://pubmed.ncbi.nlm.nih.gov/19722053Test

المؤلفون: Wellington Torres De Andrade, Rafael Rodrigues De Holanda, Marcus Wagner De Souza Porto, Carlos Umberto Pereira

المصدر: Arquivos de Neuro-Psiquiatria, Vol 56, Iss 3B, Pp 629-632 (1998)
Arquivos de Neuro-Psiquiatria v.56 n.3B 1998
Arquivos de neuro-psiquiatria
Academia Brasileira de Neurologia
instacron:ABNEURO
Arquivos de Neuro-Psiquiatria, Volume: 56, Issue: 3B, Pages: 629-632, Published: SEP 1998
Repositório Institucional da UFS
Universidade Federal de Sergipe (UFS)
instacron:UFS

مصطلحات موضوعية: cerebrospinal fluid shunts, Adult, Hematoma, Epidural, Cranial, Male, medicine.medical_specialty, complications, complicações, Ventriculoperitoneal Shunt, lcsh:RC321-571, Hematoma epidural, derivações do líquido cefalorraquidiano, Epidural hematoma, medicine, Humans, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, business.industry, Mortality rate, medicine.disease, Shunt surgery, Shunt (medical), Surgery, Hydrocephalus, Neurology, hematoma epidural, Anesthesia, Female, Neurology (clinical), epidural hematoma, business

الوصف: Ventriculoperitoneal shunt operations represent the most used choice for treating hydrocephalus, although some related complications have been reported. Due to its rarity, potential dangers, and mortality rate, we present two cases of epidural hematoma following ventriculoperitoneal shunt, discussing its pathophysiology and prophylaxis._________________________________________________________________________________________ RESUMO: No tratamento cirúrgico da hidrocefalia, a derivação ventriculoperitoneal é a mais usada, porém ocorrem várias complicações e dentre elas o hematoma epidural. Os autores relatam dois casos de hematoma epidural após cirurgia de derivacão ventriculoperitoneal e discutem sua provável fisiopatologia e profilaxia.

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الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d080d1fb545f070e6c488d7162eeb90aTest
https://pubmed.ncbi.nlm.nih.gov/9850760Test

المؤلفون: João G. S. Carvalho

المصدر: Arquivos de Neuro-Psiquiatria, Vol 61, Iss 2A, Pp 323-324 (2003)
Arquivos de Neuro-Psiquiatria, Volume: 61, Issue: 2A, Pages: 323-324, Published: JUN 2003

مصطلحات موضوعية: medicine.medical_specialty, Neurology, Normal pressure hydrocephalus, business.industry, medicine, Endoscopic third ventriculostomy, Neurology (clinical), medicine.disease, business, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, lcsh:RC321-571, Shunt (medical), Surgery

الوصف: We retrospectively have analyzed the clinical and radiological data of 15 patients diagnosed with Normal Pressure Hydrocephalus (NPH). The patients were selected on clinical and CT/RM basis for endoscopic third ventriculostomy (ETV) instead of ventriculoperitoneal shunt (VPS). Their age ranged from 48 to 78 years and there had 10 males, 5 females […] Endoscopic third ventriculostomy for normal pressure hydrocephalus. (Abstract). Dissertation. Sao Paulo, 2002.

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الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::66cf9c6c97e8758c73d13b95a6ece4c2Test
https://doi.org/10.1590/s0004-282x2003000200037Test

المؤلفون: Rosane Klein Passos, Marcelo Liberato Coelho Mendes de Carvalho, José Roberto Tude Melo

المصدر: Arquivos de Neuro-Psiquiatria, Vol 75, Iss 7, Pp 433-438
Arquivos de Neuro-Psiquiatria, Volume: 75, Issue: 7, Pages: 433-438, Published: JUL 2017
Arquivos de Neuro-Psiquiatria v.75 n.7 2017
Arquivos de neuro-psiquiatria
Academia Brasileira de Neurologia
instacron:ABNEURO

مصطلحات موضوعية: Male, medicine.medical_specialty, Ultrasonography, Doppler, Transcranial, Cerebrospinal Fluid Drainage, cerebrospinal fluid, 030218 nuclear medicine & medical imaging, lcsh:RC321-571, 03 medical and health sciences, 0302 clinical medicine, Cerebrospinal fluid, Posthemorrhagic hydrocephalus, hidrocefalia, Cerebrospinal fluid diversion, Humans, Medicine, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Retrospective Studies, líquido cefalorraquidiano, cerebral hemorrhage, medicine.diagnostic_test, business.industry, Lumbar puncture, hemorragia cerebral, Infant, Newborn, Csf drainage, medicine.disease, Cerebrospinal Fluid Shunts, Shunt (medical), Surgery, Hydrocephalus, Treatment Outcome, Neurology, Female, Neurology (clinical), business, hydrocephalus, Infant, Premature, 030217 neurology & neurosurgery

الوصف: Objective The literature describes various cerebrospinal fluid (CSF) drainage techniques to alleviate posthemorrhagic hydrocephalus in preterm newborns; however, consensus has not been reached. The scope of this study was describing a case series of premature neonates with posthemorrhagic hydrocephalus and assessing the outcomes of different approaches used for CSF diversion. Methods A consecutive review of the medical records of neonates with posthemorrhagic hydrocephalus treated with CSF drainage was conducted. Results Forty premature neonates were included. Serial lumbar puncture, ventriculosubgaleal shunt, and ventriculoperitoneal shunt were the treatments of choice in 25%, 37.5% and 37.5% of the cases, respectively. Conclusion Cerebrospinal fluid diversion should be tailored to each case with preference given to temporary CSF drainage in neonates with lower age and lower birth-weight, while the permanent ventriculoperitoneal shunt should be considered in healthier, higher birth-weight neonates born closer to term. RESUMO Objetivo A literatura descreve várias opções de drenagem liquórica (DL) para alivio da hidrocefalia pós-hemorrágica (HPH) em neonatos prematuros; contudo, não existe um consenso sobre a melhor abordagem. O escopo deste estudo foi descrever uma série de casos de neonatos prematuros, portadores de HPH, verificando os resultados de diferentes técnicas utilizadas para DL. Métodos Revisão consecutiva dos prontuários de neonatos com diagnostico de HPH submetidos a DL. Resultados Quarenta recém-nascidos prematuros foram incluídos. A punção lombar seriada (PL), a derivação ventriculosubgaleal (VSG) e a derivação ventrículo peritoneal (VP) foram o tratamento escolhido em 25%, 37,5% e 37,5% dos casos, respectivamente. Conclusão As opções de DL devem ser avaliadas caso a caso, sendo dada preferência às drenagens temporária em prematuros com idade e peso mais baixos ao nascer, enquanto o shunt definitivo (derivação VP) pode ser considerado naqueles prematuros mais saudáveis, com idade e peso superiores.

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الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::faa1ba28194bf5007d5a0e42eb78d481Test
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000700433&lng=en&tlng=enTest

المؤلفون: Adão Anicet, Mario Ferreira Coutinho, Jaderson Costa da Costa

المصدر: Arquivos de Neuro-Psiquiatria, Vol 31, Iss 1, Pp 46-52 (1973)
Arquivos de Neuro-Psiquiatria v.31 n.1 1973
Arquivos de neuro-psiquiatria
Academia Brasileira de Neurologia
instacron:ABNEURO
Arquivos de Neuro-Psiquiatria, Volume: 31, Issue: 1, Pages: 46-52, Published: MAR 1973

مصطلحات موضوعية: Dolichocephaly, business.industry, medicine.medical_treatment, Posterior fossa, Anatomy, medicine.disease, Hydrocephalus, Shunt (medical), lcsh:RC321-571, medicine.anatomical_structure, Neurology, Posterior cranial fossa, Pathognomonic, Agenesis, medicine, Pneumoencephalography, Neurology (clinical), business, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry

الوصف: São relatados os casos de 4 pacientes com síndrome de Dandy-Walker diagnosticada pela pneumencefalografia fracionada e ventriculografia. O tratamento e a patogenia desta malformação são discutidos com base em dados embriológicos. Four cases of Dandy-Walker syndrome diagnosed through encephalography and ventriculography with air are reported. The pathogenesis of this malformation is discussed. Particularly stressed are the radiological aspects of the condition, which are considered to be pathognomonic. The roentgenological findings are quite typical, indicating the extreme dolichocephaly, thinning and bulging of the bones of the posterior cranial fossa, prominent separation of the lambdoid sutures and an abnormal position of the lateral sinuses. Ventriculography shows symmetric hydrocephalus with extremely large cyst -like formation in the posterior fossa. Surgical indications are also considered. The ventricle lateral shunt is the recommended treatment for the DandyWalker malformations which show cerebral subarachnoid agenesis by pneumoencephalography.

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الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d466cc38f861e21cd6e98556dc40b17fTest
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1973000100007&lng=en&tlng=enTest