Summary: Purpose: Previous studies using diffusion MRI in patients with temporal lobe epilepsy have shown abnormal water the hippocampus. Because thalamus and lentiform nuclei are considered important for regulation of cortical excitability seizure propagation, we analyzed tensor imaging (DTI) abnormalities these subcortical structures hippocampus children partial without secondary generalization. Methods: Fourteen involving underwent including a DTI sequence. Fractional anisotropy (FA)...

Pediatric patients with moyamoya disease frequently show rapid progression a high risk of stroke. Indirect revascularization is widely accepted as surgical treatment for pediatric disease, but it does not augment cerebral blood flow immediately, which leaves at stroke peri-operatively. This delay in augmentation may make adding direct bypass the better option. study documents our cases failure that underwent indirect supplemented superficial temporal artery-middle artery to evaluate adverse...

In pediatric moyamoya disease, there have been few reports of the risk factors for preoperative cerebral infarction, especially during waiting period before surgery. The clinical and radiological findings surgically treated patients were evaluated to analyze infarction seen from onset surgery.Between August 2003 September 2019, 120 hemispheres 71 under 18 years age with disease by direct indirect bypass procedures. mean all surgical at diagnosis was 6.7±3.9 (6 months–17 years). potential...

OBJECTIVE Some pediatric patients with moyamoya disease (MMD) present posterior cerebral artery (PCA) stenosis before and after anterior circulation revascularization surgery require surgery. This study evaluated the factors associated PCA assessed efficacy of surgery, including occipital (OA)-PCA bypass, in MMD. METHODS The presence its clinical characteristics were investigated 62 (< 16 years age) RESULTS Twenty-three (37%) MMD presented at time initial diagnosis. A strong correlation...

OBJECT Some pediatric patients with middle cranial fossa arachnoid cysts present symptoms of increased intracranial pressure (ICP) and require shunt placement after a cyst fenestration. However, factors concerning ICP fenestration followed by have not been elucidated. This study evaluated that are associated following in cysts. METHODS Twenty-six who were surgically treated at single institution between 2004 2013 retrospectively identified. The surgical indications for as follows: 1) such...

Filum terminale lipoma (FTL) causes various spinal symptoms known as tethered cord syndrome. The treatment for FTL is surgical untethering by sectioning the FTL, which can prevent symptom progression and often results in improvement of symptoms. This report describes a minimally invasive strategy that we have introduced sectioning. pediatric patients with since 2007 were treated using this strategy, refer to an interlaminar approach (ILA). In summary, technique involves: minimal skin...

Object The rate of infection following shunt procedures is unacceptably high. authors have hypothesized that the key to reducing in bacteria operating field and wound. This hypothesis has been tested a prospective nonrandomized controlled manner. Methods Data obtained all patients undergoing insertions or revisions for hydrocephalus performed between October 1, 2003, June 12, 2009, were reviewed. Starting August 2006, we began routinely irrigating wound with saline solution from syringe....

After untethering of spinal dysraphism, some patients present with neurological deterioration, defined as retethered cord syndrome. It is known that surgical an option for improving the symptoms Previous reports have shown postoperative improvement in syndrome was noted majority presenting pain, and more motor weakness than those urological symptoms. The authors speculate subjective may be detected while are still reversible. In contrast, changes function less easy to diagnose, delays...

A 1-year-old female was admitted with a subcutaneous, pulsatile soft mass in the midline parietal region, and abnormal head shape. Fundus examination showed papilledema, suggesting elevated intracranial pressure. Radiological findings sagittal suture craniosynostosis sinus pericranii. Magnetic resonance venography that drainage through pericranii not essential for venous outflow from brain. The patient underwent surgical resection of total cranial remodeling. Ligation stalk-like orifice...

Lipoma of the conus medullaris (LCM) causes neurological symptoms known as tethered cord syndrome (TCS). The can be seen at diagnosis and during long-term follow-up. In this report, pediatric patients with LCMs who underwent untethering surgery, under policy performing surgery if diagnosed regardless symptoms, were retrospectively reviewed to evaluate surgical outcomes. Possible risk factors for retethered (ReTCS) evaluated in follow-up period.A total 51 consecutive a first followed > 100...

Neonatal intracranial pial arteriovenous fistulas (AVFs) are rare vascular malformations. The pathophysiology of hydrocephalus in cases AVF remains to be fully understood. Here, authors report a case with large venous varix, which rapidly expanded after cerebrospinal fluid (CSF) diversion. A female neonate was born at full term following normal pregnancy and delivery. supracerebellar varix the due complex mechanism were found on fetal imaging. She had no neurological deficits, but her head...

Detecting neurological deterioration and diagnosing tethered cord syndrome (TCS) in patients with myelomeningocele (MMC) can be challenging due to the presence of symptoms at birth lack objective indicators. This retrospective analysis focused on urological manifestations evaluated whether release (TCR) for TCS an early stage could improve or stabilize video urodynamic study (VUDS) findings lower urinary tract function.

Closed spinal dysraphism (CSD) encompasses a heterogeneous group of cord deformities, which can be accompanied by several types skin stigmata. These stigmata may include inconspicuous features, such as sacral dimples and deformed gluteal clefts, but the association between mild CSD is uncertain. This study aimed to reevaluate indication for magnetic resonance imaging (MRI) in patients with while considering surgery. A retrospective analysis was conducted on images 1255 asymptomatic children...

Filum terminale lipoma (FTL) is known to cause various spinal symptoms collectively referred as tethered cord syndrome (TCS). With the increasing use of magnetic resonance imaging, there has been an increase in identification FTLs. The treatment for FTL surgical untethering by sectioning filum terminale, which can prevent symptom progression and often results improvement symptoms. We recently introduced a new strategy named interlaminar approach (ILA). In this video, we present minimally...