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Abdulla Fahed
14 days old
Basra-Alhiania
Congenital
dorsal meningomyelocele. Operated on 2-3-07 with total
excision of the sac and dural repair.
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Aboalhasan Ali
10 years old
Alamara- Almhmodia
A case of congenital encephalocele
with hydrocephaly, ventriculoperitoneal shunt inserted
since the 1st year of his life. Presented to Alumran clinic,
with 4 months history of headache and repeated vomiting.
During examination, he had a
small mass in the back of his head with bilateral
paplledema.
Brain
CT scan revealed hydrocephaly. Operation was done on
18-2-07 with total excision of encephalocele , insertion
of new shunt and removal of the old one. During postoperative day,
the patient was very well with no more headache and
vomiting.
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Brain CT scan show diluted
ventricle |
Brain CT scan show
encephalocele
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Haidar
Alkarar
2 days old
Alnassiriyah
Congenital occipital encephalocele.
Operated on 10-2-07 with total excision of the sac and
dural repair.
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Amjad laftea
8
years old
Alamara
A
case of congenital hydrocephaly with
ventriculoperitoneal
shunting was done since the
third
month of his life. A mass developed in the way of his shunt
for one week. Surgery was done and showed
infected
shunt with
pus
collection in the mass with consequent removal of the
shunt at 16-1-07.On the first postoperative day, he
developed
repeated vomiting. Brain CT scan revealed
intraventricular hemorrhage , urgent external
ventricular shunt with heavy antibiotics cover to prevent meningitis.
After 8 days, left frontal
ventriculoperitoneal
shunt was done. He improved gradually and
discharged home very well.
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Brain CT scan before surgery |
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Ali
aeralla
12
years old
Basra-5mile
Presented as scalp mass at right temporal area. Brain CT
scan revealed a bony erosion with soft tissue swelling.
Surgical total excision with removal of unhealthy bony
margin. Histopathology result showed a histiocytosis
mass.
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Brain CT scan bony defect |
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Marwa Dawwed
12
years old
Basra-Alqurna
Headache and vomiting especially at morning for 14 days.
On examination, she had bilateral papilledema with left
facial palsy. Brain CT and
MRI scanning showed
dilated brain ventricles with no posterior fossa tumor.
Ventriculoperitoneal shunt
was done. Postoperatively she was free from any headache
and
vomiting and discharged home.
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Brain CT scan diluted ventricle |
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Saga Thafer
7
months
Alnassiriyah
A
case of repeated vomiting. Treated as gastroenteritis
but not improved. Brain CT scan revealed hydrocephaly.
Surgical intervention with
ventriculoperitoneal
shunt was done on 11-12-06. She was very well
postoperatively. On 15-2-07, she looked healthy.
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Brain CT scan diluted ventricle |
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Banen Mantaza
2 months
Slow deterioration of consciousness with feeding
difficulty. when
she reached to Basra teaching hospital she was
unconscious and dilated right pupil with left sided
paralysis. Brain CT scan showed massive right
intracerebral hematoma. Urgent craniotomy was done on
16-8-06 to evacuate the hematoma. Within the 1st
postoperative week, she returned to her normal breast feeding
and the pupil size became normally reacting to light but still
she was unable to move the right eye ball( oculomotor palsy).
At
the end of 1st month, she became very active
child with normal movement for both eyes.
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Brain CT scan massive right intracerebral hematoma |
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