Complication of the month

Sep
12

Spinal Cord Infarction Remote from Maximal Compression in a Patient with Morquio syndrome

Clinical presentation A 16-year old young woman with Morquio syndrome presented with magnetic resonance (MR) imaging changes secondary to spinal cord compression at C1. She had undergone a posterior C1 laminectomy for craniocervical stenosis and atlantoaxial hypermobility at the age of 8 years and had remained neurologically normal. Routine follow up MR imaging at age […]

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Aug
22

‘Routine’ Foramen Magnum decompression for Type I Chiari malformation 

 August 2011 Case Presentation A 6 year old girl, who was previously diagnosed with Temtamy-Brachydactyly syndrome (growth retardation, talon cusps, sensorineural deafness, and bilateral symmetric abnormalities of hands and feet) was admitted with 3 months’ history of decreasing mobility, and brisk reflexes. An MRI scan (fig.1) revealed a Chiari malformation with extensive cervico-thoracic syringomyelia, signal […]

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Apr
22

Recurrent pneumococcal subdural empyema

 April 2011 Case History A 2-year old child was transferred as an emergency to the paediatric neurosurgical unit with a seven day history of malaise, pyrexia and increasing drowsiness. The child’s previous history included a head injury secondary to a fall two months previously, which had not been investigated at the time. GCS on arrival […]

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Mar
27

A case of shunt migration

February 2011 A female Caucasian infant was born with a congenital hydrocephalus diagnosed antenatally by ultrasound screening at 20 weeks gestation. There was a history of a previous male newborn being diagnosed with hydrocephalus requiring a VP shunt. No maternal history or pregnancy concerns were reported. The child was born at 38 weeks of gestation […]

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Mar
12

An Unusual Complication of Intracranial EEG Monitoring

March 2011 A 7 year old male child of Afro-caribbean origin with drug resistant epilepsy was admitted for intracranial EEG monitoring following a non invasive pre-surgical assessment. He had been born at 38 weeks by an elective Caesarian Section and the neonatal period was uneventful and development normal for the first 12 months. The first […]

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me: 400M