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Recurrent obstructive hydrocephalus in a 4-month-old infant.
[hydrocephalus with stenosis of the aqueduct of sylvius]
Transient
,
recurrent
or
permanent
causes
of
hydrocephalus
in
children
are
usually
due
to
tumours
,
cerebral
bleeding
or
colloid
cysts
and
complications
of
infectious
meningitis
or
secondary
to
poisoning
.
Recurrent
,
obstructive
hydrocephalus
is
very
rare
.
We
report
a
4
-
month
-old
boy
who
suffered
at
least
three
different
episodes
of
obstructive
hydrocephalus
presumably
caused
by
intermittent
valvular
blockage
of
the
normal
aqueduct
cerebrospinal
flow
as
indirectly
demonstrated
by
serial
standard
and
dynamic
brain
imaging
studies
.
In
addition
,
he
had
congenital
left
hydronephrosis
secondary
to
congenital
ureteropelvic
junction
stenosis
.
The
child
underwent
an
endoscopic
third
ventriculostomy
with
only
transient
post-surgical
complications
(
i
.
e
.
central
diabetes
insipidus
)
.
The
neurological
symptoms
rapidly
improved
after
surgery
,
and
the
child
is
currently
doing
well
with
normal
psychomotor
development
.
Diseases
Validation
Diseases presenting
"intermittent valvular blockage of the normal aqueduct cerebrospinal flow as indirectly demonstrated by serial standard"
symptom
hydrocephalus with stenosis of the aqueduct of sylvius
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