We present the case of a male infant with a ventriculoperitoneal shunt and radiographic choroid hyperplasia who presented to our institution with a massive abdominal hydrocele caused by an inability to absorb the significant amount of CSF drainage into the abdomen.
The child was treated with an endoscopic third ventriculostomy and choroid plexus coagulation; however, he still required CSF diversion via a ventriculoatrial shunt. A genetic workup showed tetraploidy of chromosome 9. We discuss criteria for selection of treatment strategies, including endoscopic third ventriculostomy with choroid plexus coagulation and/or CSF diversion, that may prevent the need for re-operation in select patients with hydrocephalus due to choroid plexus hyperplasia.
我们介绍了一例男婴的脑室腹膜分流和放射学脉络膜增生,该男婴因无法吸收大量脑脊液引流到腹部而出现大量腹腔积液。
该患儿接受了内镜下第三脑室造瘘术和脉络丛凝固术治疗;然而,他仍然需要通过心室心房分流术分流脑脊液。遗传检查显示9号染色体四倍体。我们讨论了选择治疗策略的标准,包括内镜下第三脑室造瘘术伴脉络丛凝固和/或脑脊液分流术,这可以防止由于脉络丛增生导致的部分脑积水患者需要再次手术。