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Radiological Case of the Month
Annie Jill Rohan, MSN, RNC, NP/PNP;
Sergio U. Golombek, MD;
Alan D. Rosenthal, MD;
Beverly P. Wood, MD
From the Department of Pediatrics, State University of New York at Stony Brook (Drs Rohan and Golombek); Albert Einstein College of Medicine, Bronx, NY (Dr Rosenthal); and the Department of Radiology, Childrens Hospital, Los Angeles, Calif (Dr Wood).
Arch Pediatr Adolesc Med. 1999;153:1303-1304.
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A 9-YEAR-OLD GIRL presented with a 5-day history of a mild frontal headache. She had undergone a craniotomy 1 year earlier for a right frontal and intraventricular low-grade astrocytoma. At surgery, a right ventricular shunt was placed for hydrocephalus. Two months postoperatively, the shunt-dependent child required shunt revision for a loculated right lateral ventricle. The patient was receiving no medications, had no recent history of trauma, and was doing well in school.
A follow-up magnetic resonance imaging (MRI) scan was obtained 2 weeks prior to presentation and demonstrated stable ventricular size. The study was degraded by a magnetic susceptibility artifact. Findings from physical examination were unremarkable. The patient was afebrile, vital signs were stable, and she was neurologically normal. The surgical incisions were well healed, and shunt tubing was palpable subcutaneously along . . . [Full Text of this Article]
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