Nineteen infants with posthaemorrhagic ventricular dilatation had auditory brain stem responses measured during the period of maximal ventricular dilatation. These showed various patterns ranging from normal, through various abnormalities, to complete absence of responses. When serial auditory brain stem responses were studied in parallel with the evolution of posthaemorrhagic ventricular dilat...

we describe the development of enterovirus meningoencephalitis associated with increased adenosine deaminase in cerebrospinal fluid of a 12-year-old boy, a known case of hypogamaglobulinemia despite monthly replacement of ivig. the patient was referred to our center with fever, headache and vomiting for 10 days. csf analysis was compatible with aseptic meningoencephalitis but high csf protein (...

background: proposing a strategy for sellar reconstruction in endoscopic transsphenoidal transsellar approach for pituitary adenoma. methods: 240 patients with pituitary adenoma underwent pure endoscopic endonasal transsphenoidal surgery. intra-operative csf leaks were classified as grade 0, no observable leak grade 1, csf dripping through an arachnoid membrane defect of less than 1 mm and grad...

results the mean levels of serum calcium, serum zinc, cerebrospinal fluid calcium and cerebrospinal fluid zinc were 14.51 ± 3.69 mg/dl; 184.04 ± 65.49 µg/dl; 5.23 ± 2.21 mg/dl and 87.06 ± 28.25 µg/dl respectively. conclusions we did not find any clear abnormality in plasma or cerebrospinal fluid calcium and zinc levels in children with febrile seizures in our patient population. patients and me...

meningitis is one of the most important causes of infant mortality and its early and proper diagnosis is of great importance, but there are currently no laboratory facilities optimized and fast in detection of meningitis pathogens. the current standard of bacterial meningitis diagnosis is microscopic examination and cerebrospinal fluid (csf) culture. this research aimed at isolating the most co...

A series of 6 patients with arachnoid cysts of the posterior fossa who were treated surgically is presented. The diagnosis of the nature of the lesion and of the exact location within the posterior fossa could not be established on a clinical basis. CT scanning is the best method for diagnosing the lesion and for observing the postoperative evolution. Treatment consisted of removing the cyst wa...

A feared complication of ventricular access for drainage or shunting is ventriculitis. Early diagnosis and treatment is vital to prevent morbidity and mortality. Efficacy of directed antibiotic therapy in ventriculitis is limited by increasing multidrug resistant microorganisms and insufficient systemic antibiotic absorption into the cerebrospinal fluid. Treatment may involve intravenous and/or...

Three cases of a form of focal hydrocephalus are described which the authors term "entrapment of the temporal horn". Obstruction of one lateral ventricle in the region of the trigone isolates the temporal horn. Continued secretion of cerebrospinal fluid within the temporal horn causes it to behave as a mass lesion. In the cases described the causes of the condition were recurrent glioma, previo...

A 69-year-old man presented with progressive nuchal pain and spastic gait 2 years after undergoing ventriculoperitoneal (VP) shunting for a pineal astrocytoma with obstructive hydrocephalus. The neurological manifestations were compatible with radiculomyelopathy caused by an upper cervical lesion. Magnetic resonance imaging showed an enhanced extramedullary mass lesion tightly constricting the ...