RESUMO
Three cases of abdominal complications of ventriculo-peritoneal shunts are reported. Abdominal pseudocysts were identified in 2 patients (surinfection was proven in one of them). Malposition of the shunt was demonstrated for the third patient. Ultrasound was the most helpful imaging technique for the detection of these abdominal complications. Abdominal computed tomography confirmed the sonographic findings before the patients were reoperated.
Assuntos
Derivação Ventriculoperitoneal/efeitos adversos , Abdome , Adolescente , Pré-Escolar , Humanos , Hidrocefalia/cirurgia , Masculino , Pseudotumor Cerebral/cirurgia , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
Acute disseminated encephalomyelitis (ADEM) is a rare demyelinating condition of the central nervous system, usually developing after a viral infection or vaccination. We report a case of ADEM predominantly affecting the spinal cord in an 8-year old boy evaluated by MRI. The radiographic picture consisted of multiple focal lesions of the spinal cord, a left posterior thalamic lesion and a subcortical right posterior parietal lesion. These lesions regressed several weeks after corticosteroid treatment. The clinical presentation, the laboratory results and the radiological findings suggest the diagnosis of ADEM secondary to viral infection by Coxsackie B.
