RESUMEN
In this report we present a 45 year old man with horizontal diplopia following minor head trauma. Neurological examination was normal except for unilateral adduction paresis of the right eye. Brain magnetic resonance imaging (MRI) revealed a contusion area 7 mm in diameter at the inferiorposterior portion of the mesencephalon. We thought that this contusion affected the sub-nucleus of oculomotor nerve and caused isolated adduction paresis of the right eye. This relatively rare entity is discussed in the light of the available literature.
RESUMEN
The clinical features of idiopathic normal pressure hydrocephalus (iNPH) are characterized by cognitive impairments, gait disturbances, and/or urinary incontinence. These symptoms can also include seizures following a shunt placement but there is a lack of data regarding seizures as a presenting symptom in patients with iNPH. Thus, the present report describes a case of iNPH accompanied by seizures which resolved after the placement of a shunt.
RESUMEN
The purpose of the presenting study was to determine how frequently external ventricular drainage [EVD] device should be changed in children with ventriculopertienal shunt [VPS] infection during prolonged intravenous antimicrobial therapy. In this retrospective study, 25 children with VPS infection were evaluated between January 2012 and December 2013. In these children VPS was surgically removed and appropriate antimicrobial therapy was administered according to cerebrospinal culture results. Data noted about how frequently EVD device had been changed, the number of cells on direct observation of cerebrospinal fluid [CSF], glucose and protein levels of CSF, and CSF culture results were obtained from patients' records. Total 25 children were included in the study. The median age was three months [1 and 65 months]. In 44% of children, Staphylococcus epidermidis was isolated. During treatment period, EVD catheter has changed one to six times. A total of 68 EVD catheters were changed in these patients. When the duration of ventriculostomy catheter and leukocyte count in CSF were evaluated on daily basis, leukocyte count was decreased 5 units per day in children whose catheter remained less than 10 days. However, in children whose catheter remained more than 10 days leukocyte count was decreased 2.21 units per day. In children with VPS infection, EVD device should be changed at every 10 days for the rapid resolution of the infection