Some remarks of Hydrosyringomyelie treatmean

On occasion of a hydrosyringomyelie accompanied with communicating hydrocephalus which was managed successfully and literature referred, the authors had some remarks about management of this disease. Some remarks of such as: the disease often appears in one region, most in cervical and upper thoracic of the spinal canal. It is the rare disease caused by many sources. It may be congenital approximately 50-70% of CHIARI I (Menezes) and 40-95% of CHIAR II (Naidich). It may be also secondary to spinal trauma, myelitis (virus, bacteria, tuber culosis bacillus...vv.) Signals and symptoms are poorly. The diagnosis is difficulty but no longer now because of applying MRI. Since this disease is accompanied with others malformations, the management have some differences, depending on the caused of the disease

Recovery of brain in hydrocephalus

A retrospective study on a case of pediatric patients with hydrocephalus due to meningitis was treated at Tay Duc Paediatric Hospital – Haiphong City. Results shows that: hydrocephalus is non-malignant except brain tumour. Symptoms in children under one year of age: head circumference is enlarged rapidly, fontanel’s and skull bones bulging, thin-haired, venae under head skin emerged clearly, eyes are turned downwards. Symptoms in older children and adults including headache, quick reduction of vision. To have better treatment results, it should be detected and operated early. For hydrocephalus caused by brain tumour, placement surgery of a abdominal-ventricular catheter should be done before operation to help reducing pressure for laparoscopic surgery, minimizing mortality rate and having recupation for better surgical condition later. If the tumour had bad prognosis not be operated, placement of a abdominal-ventricular.

To discuss on the surgical removal of the region of pineal gland

Pineal gland is structured by special morphology of neural cells. The tumor originates from the gland or its surrounding tissnes therefore these tumors have histologically different origins. They are in deep location with narrow path inward. Pineal tumor has not specific symptoms and usually diagnosed lately. The removal surgery comfuses of 2 stages - first: brain ventricular-abdomen drainage, second: tumor removal within 2-3 weeks after the first stage. There are 5 methods to approach the tumor, with own advantages and short comings

Remarks on 70 cases of children of with skull articular overlap operated at the Depart of Neurosurgery of Saint Paui Hospital

Among 235 operated cases with narrow case of skull, there were 70 (29.8%) cases of skull articular overlap, a cause of narrowness leading to press the brain. This causes the underdevelopment of psychomotor capacity of children. This morbidity is higher in boys than in girls. The rates are as follows: frontal occupital overlap 100% with early close of the fonticulus; head circle measurement less than 1-2.5 cm incomparing with seizure 78.6%, psychomotor under development from mild to severe 86.7%. In electroencephalogram, 42 cases occur the wave od seizure. After operation of correction of deformity of the bone, in 53.4% children normal development restored, in 29.2% part of symptoms reduces, in 17.3% no improvement noted