Neurogenic bladder dysfunction as signal of late failure of endoscopic third ventriculostomy in child with spina bifida
| dc.contributor.author | Silva Neto, Angelo R. | |
| dc.contributor.author | Uruguay, Ana Luíza R. | |
| dc.contributor.author | Paiva, Damácio S. | |
| dc.contributor.author | Silva, Alice L.P. | |
| dc.contributor.author | Godeiro, Arthur H.M | |
| dc.contributor.author | Eberlin, Letícia M.N. | |
| dc.contributor.authorID | 0000-0002-3819-8951 | pt_BR |
| dc.date.accessioned | 2023-05-12T21:43:28Z | |
| dc.date.available | 2023-05-12T21:43:28Z | |
| dc.date.issued | 2019-08 | |
| dc.description.resumo | BACKGROUND: 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. | pt_BR |
| dc.identifier.citation | SILVA NETO, Angelo R.; URUGUAY, Ana Luíza R.; PAIVA, Damácio S.; SILVA, Alice L.P.; GODEIRO, Arthur H.M.; EBERLIN, Letícia M.N.. Neurogenic Bladder Dysfunction as Signal of Late Failure of Endoscopic Third Ventriculostomy in Child with Spina Bifida. World Neurosurgery, [S.L.], v. 128, p. 454-457, ago. 2019. Elsevier BV. http://dx.doi.org/10.1016/j.wneu.2019.05.138. | pt_BR |
| dc.identifier.doi | 10.1016/j.wneu.2019.05.138 | |
| dc.identifier.uri | https://repositorio.ufrn.br/handle/123456789/52365 | |
| dc.language | en | pt_BR |
| dc.publisher | Elsevier | pt_BR |
| dc.subject | long-term outcome | pt_BR |
| dc.subject | neurogenic bladder | pt_BR |
| dc.subject | pediatric hydrocephalus | pt_BR |
| dc.subject | third ventriculostomy | pt_BR |
| dc.title | Neurogenic bladder dysfunction as signal of late failure of endoscopic third ventriculostomy in child with spina bifida | pt_BR |
| dc.type | article | pt_BR |
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