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  • Journal of Neurosurgery: Pediatrics x
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Yasuomi Nonaka, Masakazu Miyajima, Ikuko Ogino, Madoka Nakajima and Hajime Arai

comparatively high percentage of mental disability in adulthood accompanied by ventricular dilation in childhood. Initially, surgical intervention in LOVA cases had unsatisfactory results as improvements in higher cognitive functions were not observed after shunt insertion. 4 In recent years, however, it has been reported that when adult patients with chronic hydrocephalus are subjected to a third ventriculostomy and the shunt insertion operation using the new shunt system, there is improvement in motor functions, neurological manifestations, and higher cognitive functions

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Sherman C. Stein and Wensheng Guo

: 2 Suppl 141 – 145 , 2005 90 Keucher TR , Mealey J Jr : Long-term results after ventriculoatrial and ventriculoperitoneal shunting for infantile hydrocephalus . J Neurosurg 50 : 179 – 186 , 1979 91 Khadilkar VV , Amdekar YK : Peritoneal absorptive failure: a cause of ascites in V-P shunt . Indian Pediatr 27 : 1319 – 1320 , 1990 92 Kiefer M , Eymann R , Meier U : Five years experience with gravitational shunts in chronic hydrocephalus of adults . Acta Neurochir (Wien) 144 : 755 – 767 , 2002 93 Kiefer M , Eymann R

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Kareem A. Zaghloul, Gregory G. Heuer, Marta D. Guttenberg, Eileen M. Shore, Frederick S. Kaplan and Phillip B. Storm

out unequivocally. After more discussions the decision was made to extend the incision from T-9 to S-1. The lesion was firm and mobile and a surgical plane was easily established between the abnormal soft-tissue mass and the underlying muscle. Final histological evaluation demonstrated a highly vascular fibroproliferative lesion with scattered areas of chronic inflammation ( Fig. 2 ). F ig . 2. Photomicrograph of a section of the pathological specimen obtained during resection demonstrating proliferating spindle cells consistent with fibroblasts in a

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Suresh N. Magge, H. Isaac Chen, Michael F. Stiefel, Linda Ernst, Ann Marie Cahill, Robert Hurst and Phillip B. Storm

: Anteroposterior view with 10° rotation of the right ICA obtained after coil occlusion. D: Anteroposterior view of the left ICA obtained after coil occlusion. Discussion Takayasu Arteritis Takayasu arteritis is a chronic vasculitis of unknown origin that mainly affects the aorta and its primary branches. It was first described by Takayasu in a case of central retinal arteriovenous anastamosis in 1908. Shimizu and Sano later termed it “pulseless disease” in 1948 due to the diminished peripheral pulses seen in the disease. 4 Women are affected in 80–90% of cases, 1

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Wilson Z. Ray, Amy Lee, Spiros L. Blackburn, Gregg T. Lueder and Jeffrey R. Leonard

P seudotumor cerebri or IIH is increased ICP without ventriculomegaly and with normal laboratory and radiographic studies. 3 , 8 , 21 Idiopathic intracranial hypertension is most closely associated with obese young girls, 7 , 10 but has also been linked to systemic lupus erythematosus, Cushing disease, adrenal insufficiency, hypoparathyroidism, hypothyroidism, chronic renal failure, certain medications, and steroid administration and/or withdrawal. 11–13 , 15 , 17–20 , 22 , 23 We present the case of a patient with IIH that arose secondary to the

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Andrew B. Foy, Caterina Giannini and Corey Raffel

patient recovered well. The rash started to improve prior to surgery because of the topical medications and disappeared within a week after surgery ( Fig. 1 ). In addition, her leukocyte count decreased, and she had a significant reduction in her eosinophilia. At 1 year of follow-up there has been no recurrence of her symptoms. The explanted dural graft showed evidence of moderate eosinophilic and chronic lymphocytic infiltration on pathological examination ( Fig. 2 ). There was no evidence of bacterial colonization of the explanted graft. F ig . 2

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Ben Waldau, Gerald Grant and Herbert Fuchs

reported. Bilateral chronic subdurals, 8 giant craniopharyngiomas, 6 arteriovenous malformations, 9 craniosynostosis, 5 and intracranial radiation therapy 7 have been implicated in their development. Bauer et al. 1 have described a posterior fossa arachnoid cyst as an infratentorial cause of an acquired CM-I. We believe that ours is the first report to document a case in which an acquired CM-I developed in a patient with an untreated tethered cord. In a recent retrospective database analysis, Tubbs et al. 13 have shown that the incidence of CM-I in patients

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Tamara D. Simon, Jay Riva-Cambrin, Raj Srivastava, Susan L. Bratton, J. Michael Dean, John R. W. Kestle and for the Hydrocephalus Clinical Research Network

for initial CSF shunt placements, CSF shunt malfunctions, and CSF shunt infections; 2) to compare inpatient health care utilization for hydrocephalus to that for cystic fibrosis (a chronic medical condition) and to gastrostomy (a chronic surgical condition) to provide a context for the scope of the data; 3) to describe patient, hospital, and hospitalization characteristics for pediatric hydrocephalus admissions; and 4) to determine characteristics associated with death. Clinical Material and Methods We performed a cross-sectional study using the 1997, 2000

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Farideh Nejat, Farid Radmanesh, Saeed Ansari, Parvin Tajik, Abdolmohammad Kajbafzadeh and Mostafa El Khashab

or anomaly? . Clin Radiol 36 : 159 – 161 , 1985 3 Cornette L , Verpoorten C , Lagae L , Van Calenberg F , Plets C , Vereecken R , : Tethered cord syndrome in occult spinal dysraphism: timing and outcome of surgical release . Neurology 50 : 1761 – 1765 , 1998 4 Fidas A , MacDonald HL , Elton RA , McInnes A , Chisholm GD : Neurological defects of the voiding reflex arcs in chronic urinary retention and their relation to spina bifida occulta . Br J Urol 63 : 16 – 20 , 1989 5 Fidas A , MacDonald HL , Elton RA

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Laurence Davidson, J. Gordon McComb, Ira Bowen and Mark D. Krieger

) 12 (27) hypothalamic–pituitary axis only 2:0 3.5 yrs (3–4 yrs) 2 (5) multiple organs 1:2 6 mos (2 mos–1 yr) 3 (7) Patients most commonly presented with a localized skull mass, most of which were tender to palpation. Less common signs and symptoms included rash, proptosis, polyuria and polydipsia, chronic otitis media, and ptosis. All patients presenting with spine lesions had associated weakness from either nerve root or spinal cord compression ( Table 2 ). The mean time from symptom onset to presentation was 2 months. Eight patients had a