Navegando por Autor "Uruguay, Ana Luíza R."
Agora exibindo 1 - 2 de 2
- Resultados por página
- Opções de Ordenação
Artigo Neurogenic bladder dysfunction as signal of late failure of endoscopic third ventriculostomy in child with spina bifida(Elsevier, 2019-08-14) Silva Neto, Ângelo Raimundo da; Uruguay, Ana Luíza R.; Silva , Alice L.P.; Godeiro , Arthur H.M.; Eberlin, Letícia M.N.; Paiva, Damácio S.; 0000-0002-4312-1633Endoscopic third ventriculostomy (ETV) is an option for hydrocephalus treatment in patients with myelomeningocele, mostly after a previous shunt dysfunction. Late failure of ETV is a rare event, traditionally associated with dramatic symptoms of intracranial hypertension. In patients with myelodysplasia and neurogenic bladder dysfunction, urodynamic deterioration can be a signal of neurologic worsening as a consequence of tethered cord or shunt problems.Artigo Neurogenic bladder dysfunction as signal of late failure of endoscopic third ventriculostomy in child with spina bifida(Elsevier, 2019-08) Silva Neto, Angelo R.; Uruguay, Ana Luíza R.; Paiva, Damácio S.; Silva, Alice L.P.; Godeiro, Arthur H.M; Eberlin, Letícia M.N.; 0000-0002-3819-8951BACKGROUND: Endoscopic third ventriculostomy (ETV) is an option for hy-drocephalus treatment in patients with myelomeningocele, mostly after a previous shunt dysfunction. Late failure of ETV is a rare event, traditionally associated with dramatic symptoms of intracranial hypertension. In patients with myelodysplasia and neurogenic bladder dysfunction, urodynamic deterioration can be a signal of neurologic worsening as a consequence of tethered cord or shunt problems. - CASE DESCRIPTION: We describe here a rare case of a 12-year-old female patient with myelomeningocele and evidence of a failure 10 years after a previously successful ETV whose initial symptoms were worsening of urinary complaints. After 2 months, she was admitted to the emergency department with seizures and acute hydrocephalus and was shunted. - CONCLUSIONS: Pediatric neurosurgeons must follow myelomeningocele patients with successful ETV for a long time and take care of subtle alterations of organic functions that have a close relationship with central nervous system integrity. A multidisciplinary approach can facilitate this strategy and avoid a tragic outcome.