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[Ventriculostomy of the third ventricle and diabetes insipidus]
C Di Roio1, C Mottolese, V Cayrel
1Département d'anesthésie-réanimation, hôpital neurologique et neurochirurgical Pierre Wertheimer, Lyon, France.
Insights
A child developed permanent diabetes insipidus after a third ventriculostomy for Dandy-Walker syndrome. This rare complication highlights the need for close monitoring after such procedures in pediatric patients.
Area of Science:
- Pediatric Neurosurgery
- Endocrinology
- Neurology
Background:
- Dandy-Walker syndrome is a congenital brain malformation often leading to hydrocephalus.
- Third ventriculostomy is a neurosurgical procedure to treat hydrocephalus by creating an opening in the floor of the third ventricle.
- Non-communicating hydrocephalus requires intervention to relieve pressure on the brain.
Observation:
- A 2-year-old child underwent a third ventriculostomy for hydrocephalus secondary to Dandy-Walker syndrome.
- The patient developed diabetes insipidus, a condition characterized by excessive thirst and urination.
- This neurological complication occurred postoperatively.
Findings:
- The child experienced permanent diabetes insipidus following the ventriculostomy.
- Diabetes insipidus is a known but rarely reported complication of third ventriculostomy.
- Unlike typically transient cases, this instance resulted in a permanent condition.
Implications:
- Third ventriculostomy, while effective for hydrocephalus, carries risks including permanent diabetes insipidus.
- Close postoperative surveillance is crucial for pediatric patients undergoing ventriculostomy.
- Early detection and management of diabetes insipidus are vital to prevent long-term complications.
Abstract:
We report the case of a 2-year-old child who sustained a permanent diabetes insipidus following a third ventriculostomy for hydrocephalus from a Dandy-Walker syndrome. Ventriculostomy, used for therapy of non-communicating hydrocephalus, can cause complications such as diabetes insipidus. The latter has rarely been reported and is usually transient. Following ventriculostomy, a close postoperative surveillance is essential, especially in children.