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Recurrent obstructive hydrocephalus in a 4-month-old infant

Danilo Castellano-Chiodo1, Piero Pavone, Andrea Domenico Praticò

  • 1Unit of Clinical Paediatrics, Department of Paediatrics, University of Catania, Catania, Italy.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|October 23, 2009
PubMed

Insights

Recurrent obstructive hydrocephalus in infants, a rare condition, was successfully treated with endoscopic third ventriculostomy. This minimally invasive surgery resolved the blockage, leading to rapid neurological improvement and normal development.

Area of Science:

  • Pediatric Neurosurgery
  • Pediatric Urology

Background:

  • Obstructive hydrocephalus in children typically results from tumors, bleeding, cysts, meningitis, or poisoning.
  • Recurrent obstructive hydrocephalus is exceptionally rare.

Observation:

  • A 4-month-old boy experienced multiple episodes of obstructive hydrocephalus due to intermittent blockage of cerebrospinal fluid flow.
  • The child also had congenital left hydronephrosis secondary to ureteropelvic junction stenosis.

Findings:

  • Endoscopic third ventriculostomy was performed, resulting in transient central diabetes insipidus.
  • Post-surgical neurological symptoms rapidly improved.

Implications:

  • Endoscopic third ventriculostomy offers a viable treatment for rare cases of recurrent obstructive hydrocephalus in infants.
  • Successful management of hydrocephalus can lead to normal psychomotor development in affected children.
Abstract

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