|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6 months Infant had
onset of encephalitis science 2 weeks old, after that there is gradual swelling of
his head. Brain CT scan revealed enlarge ventricules
with large cyst occupying left occipital region. Fluid
aspiration from the lateral venticule and cystic cavity
for complete analysis to ensure there is no more
infection. Surgical intervention was done with
connection of both lateral ventricle and occipital cyst
by Y shape connector to peritoneum cavity to decrease
intracranial pressure
|
Brain CT scan revealed large cyst
occupying left occipital region
Y shape connector |
Brain CT scan revealed enlarge
ventricules |
|
2 days old
Infant
with congenital lumbosacral meningomyelocele. Operated with
total excision of the sac and dural repair.
|
 |
Dural patch during surgery |
|
21 months old Child had recurrent vomiting with chest infection
resistant to medications for months. Brain CT scan show
hydrocephaly with a big cyst at the posterior fossa of
her head (Dandy Walker syndrome).
Operation was done with insertion of medium pressure
device to the lateral ventricle connected by Y-shape
connector to the posterior fossa cyst. after surgery she
is very wheal and disappear vomiting.
|
Brain CT scan
Hydrocephaly with a big cyst at the posterior fossa
|
Brain CT scan
After surgery show shunting of both lateral ventricle
and pf cyst
|
|
14 days old
Child had Congenital
dorsal meningomyelocele. Operated on 2-3-07 with total
excision of the sac and dural repair.
|
 |
|
|
10 years old male had 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.
|
Brain CT scan show diluted
ventricle |
Brain CT scan show
encephalocele
|
|
2 days old infant had a Congenital occipital encephalocele.
Operated on 10-2-07 with total excision of the sac and
dural repair.
|
 |
|
|
8 years old Child with 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.
|
Brain CT scan before surgery |
|
|
12
years old male 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.
|
Brain CT scan bony defect |
|
|
12
years old
Child had
a 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.
|
Brain CT scan diluted ventricle |
|
|
7 months old Child had repeated vomiting. Treated as gastroenteritis
but not improved. Brain CT scan revealed hydrocephaly.
Surgical intervention with
ventriculoperitoneal
shunt was done. She was very well
postoperatively.
|
Brain CT scan diluted ventricle |
|
|
2 months Infant had slow deterioration of consciousness with
difficulty
feeding. when
she reached 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.
|
Brain CT scan massive right intracerebral hematoma |
|
|
|
|
|
