Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Episodic brainstem compression masquerading as electrodecremental seizures

S Lucas1, G Solomon, D Labar

  • 1Department of Neurology, New York Hospital-Cornell Medical Center, NY 10021.

Journal of Child Neurology
|April 1, 1994
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Genetic parameters of lamb leather and wool traits in Lacaune dairy sheep.

Animal : an international journal of animal bioscience·2026
Same author

Analytical and clinical validation of PATHWAY HER2 (4B5) assay for assessment of HER2-low/HER2-ultralow status and eligibility for trastuzumab deruxtecan in DESTINY-Breast06.

ESMO open·2025
Same author

Subcutaneous immunoglobulin replacement therapy in patients with immunodeficiencies - impact of drug packaging and administration method on patient reported outcomes.

BMC immunology·2024
Same author

A comparison of chest radiographic findings in human immunodeficiency virus-positive and -negative children with pulmonary tuberculosis.

Clinical radiology·2023
Same author

Comparison of single coronal thick-slab minimum intensity projection with flexible bronchoscopy for airway compression in children with lymphobronchial tuberculosis.

Clinical radiology·2023
Same author

An audit of patients clinically deemed as high risk for malignant breast pathology at the Helen Joseph Hospital Breast Clinic.

South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie·2021
Same journal

Birmingham, 1963.

Journal of child neurology·2026
Same journal

Hyperintensity on Diffusion-Weighted Imaging in a MELAS Patient Does Not Necessarily Mean Cytotoxic Edema.

Journal of child neurology·2026
Same journal

Neuromuscular Symptoms of <i>ORAI1</i>-Related Immunodeficiency.

Journal of child neurology·2026
Same journal

Symptoms of Obsessive-Compulsive Disorder, Attention-Deficit/Hyperactivity Disorder, and Autism Spectrum Disorder in Children and Adolescents Attending a Headache Outpatient Clinic and School-Based Controls.

Journal of child neurology·2026
Same journal

Acute Encephalopathy From Central Nervous System Hemophagocytic Lymphohistiocytosis (CNS HLH) in X-Linked Lymphoproliferative Disease Type 1 (XLP-1).

Journal of child neurology·2026
Same journal

The Cost of Fear for Pediatric Neurologic Care.

Journal of child neurology·2026
See all related articles

A shunt malfunction caused increased intracranial pressure, leading to seizures and electroencephalogram abnormalities in a child. Shunt revision resolved the seizures and normalized electroencephalogram findings, demonstrating the critical role of shunt function.

Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Epileptology

Background:

  • Hydrocephalus management often involves cerebrospinal fluid (CSF) shunts.
  • Shunt malfunction can lead to increased intracranial pressure (ICP).
  • Elevated ICP can manifest with diverse neurological symptoms, including seizures.

Observation:

  • An 8-year-old boy presented with generalized tonic spasms and electroencephalogram (EEG) abnormalities.
  • Initial evaluations, including lumbar puncture and shunt tap, showed normal pressures, and imaging revealed only mild ventricular dilation.
  • Clinical attacks and EEG abnormalities persisted despite antiepileptic drug (AED) treatment.

Findings:

  • Recurrent shunt malfunction was diagnosed, with a repeat shunt tap revealing significantly elevated ICP (800 mm H2O).

Related Experiment Videos

  • Shunt revision successfully corrected the malfunction.
  • Following shunt revision, the patient's clinical seizures ceased, and EEG recordings normalized.

    • Implications:

    • This case highlights the importance of considering shunt malfunction in pediatric patients with unexplained seizures, even with initially normal pressure readings.
    • Prompt diagnosis and surgical intervention (shunt revision) are crucial for managing shunt-related complications and preventing neurological damage.
    • Normalizing ICP through shunt revision can effectively resolve refractory seizures and EEG abnormalities, obviating the need for long-term antiepileptic drug therapy.