학술논문

Postoperative cerebral edema occurring in children with slit ventricles
Document Type
Academic Journal
Source
Pediatrics. April, 1997, Vol. v99 Issue n4, p625, 6 p.
Subject
Brain -- Ventricles
Cerebral edema -- Causes of
Orthopedic surgery -- Complications
Hyponatremia -- Physiological aspects
Language
ISSN
0031-4005
Abstract
The presence of slit brain ventricles in children with brain shunts may cause serious neurologic complications or death after uncomplicated orthopedic surgery. A five-year-old girl died and an eight-year-old girl experienced profound neurologic deterioration after uneventful corrective orthopedic surgery. Both girls were born with handicaps and had brain shunts placed while they were infants. Slit ventricles combined with lack of salt in body fluids were thought to be the cause of excess fluid in the brain shortly after orthopedic surgery. Lethargy, headaches, nausea, or vomiting may be signs of brain compromise in such patients.
ABBREVIATIONS. SV, slit ventricles; CT, computed tomographic (scan); MRI, magnetic resonance imaging; SVS, slit ventricle syndrome; ICP, intracranial pressure; CSF, cerebrospinal fluid; ICU, intensive care unit; ADH, antidiuretic hormone. Slit [...]