44 404

Cited 0 times in

A case of Sotos syndrome with subduroperitoneal shunt.

Authors
Park, SW; Park, MS; Hwang, JS; Shin, YS; Yoon, SH
Citation
Pediatric neurosurgery, 42(3):174-179, 2006
Journal Title
Pediatric neurosurgery
ISSN
1016-22911423-0305
Abstract
The authors present a case of Sotos syndrome with increasing severity of subdural hygroma from the age of 5 months, which was managed with a subduroperitoneal shunt at 10 months of age. The patient had been followed up until 30 months of age with continuing improvement of symptoms. The patient initially presented with dolichocephaly accompanied by macrocrania, early tooth development, repeated pneumonia infections and developmental retardation concerning crawling, sitting, walking and speaking at 5 months of age. Magnetic resonance imaging (MRI) demonstrated partial hypoplasia of the corpus callosum and bifrontal subdural hygroma. The patient underwent subduroperitoneal shunting at 10 months of age with partial improvement of symptoms. At 18 months of age, the patient showed increased irritability and sweating, and development of spinal kyphosis, which resulted from shunt malfunction as shown in the shuntogram. The appearance of cervical syringomyelia was also seen in the MRI. After shunt revision, the irritability, sweating and kyphosis improved along with disappearance of the syringomyelia. The authors describe a case of Sotos syndrome with subduroperitoneal shunt that showed syringomyelia which developed with shunt malfunction but disappeared after shunt revision. We emphasize the importance of active management such as subduroperitoneal shunting to drain the cerebrospinal fluid in the Sotos syndrome.
MeSH terms
Corpus Callosum/abnormalitiesCorpus Callosum/pathologyCraniofacial Abnormalities/diagnosisCraniofacial Abnormalities/surgery*Equipment Failure*FaciesFollow-Up StudiesHumansImage Processing, Computer-AssistedInfantMagnetic Resonance ImagingMalePostoperative Complications/surgery*ReoperationSubdural Effusion/congenital*Subdural Effusion/surgery*Subdural SpaceSyndromeSyringomyelia/diagnosisSyringomyelia/surgeryTomography, X-Ray ComputedVentriculoperitoneal Shunt/instrumentation*
DOI
10.1159/000091863
PMID
16636621
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
Journal Papers > School of Medicine / Graduate School of Medicine > Pediatrics & Adolescent Medicine
AJOU Authors
박, 문성황, 진순신, 용삼윤, 수한
Full Text Link
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse