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Holocord Syrinx Associated with Shunt Malfunction in Tetraventricular Hydrocephalus.

Abstract
We present an uncommon case of holocord, "rosary bead-like," multiloculated syringomyelia consistent with a fourth ventricle outlet obstruction in a 2-month-old infant who was previously shunted for posthemorrhagic hydrocephalus of prematurity. The shunt malfunction resulted in a syringomyelia because of the simultaneous obstruction of the 3 outlets of the fourth ventricle, resulting in an enlargement of the central canal of the spinal cord. The syringomyelia resolved with shunt revision, avoiding further complex surgical procedures.
AuthorsPietro Spennato, Alessandra Marini, Giuseppe Cinalli
JournalWorld neurosurgery (World Neurosurg) Vol. 139 Pg. 382-386 (07 2020) ISSN: 1878-8769 [Electronic] United States
PMID32348890 (Publication Type: Case Reports)
CopyrightCopyright © 2020 Elsevier Inc. All rights reserved.
Topics
  • Female
  • Fourth Ventricle (pathology)
  • Humans
  • Hydrocephalus (surgery)
  • Infant
  • Infant, Extremely Premature
  • Infant, Newborn
  • Reoperation
  • Syringomyelia (etiology)
  • Ventriculoperitoneal Shunt (adverse effects)

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