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Brain injury due to ventricular shunt placement delineated by diffusion tensor imaging (DTI) tractography.
[hydrocephalus with stenosis of the aqueduct of sylvius]
Infection
and
hemorrhage
are
well-known
complications
from
insertion
of
intracranial
shunts
.
However
,
permanent
injury
to
the
brain
caused
by
catheterization
of
the
cerebral
ventricles
has
rarely
been
reported
.
We
report
a
patient
who
presented
at
age
14
years
for
evaluation
of
a
severe
behavioral
disorder
.
The
patient
had
sustained
direct
injury
to
the
corticospinal
tract
and
limbic
system
during
revision
of
a
ventriculoperitoneal
shunt
at
the
age
of
9
years
.
Despite
persistent
evidence
of
severe
disruption
of
the
corticospinal
tract
on
diffusion
tensor
imaging
at
age
14
years
,
the
patient
had
regained
complete
motor
function
.
Recovery
of
motor
function
after
serious
injury
to
motor
cortex
during
childhood
is
a
dramatic
example
of
the
plasticity
of
the
child
's
brain
to
injury
.
In
addition
,
we
suggest
that
the
behavioral
disorder
that
emerged
in
this
patient
may
be
related
to
limbic
system
injury
suffered
during
the
shunt
revision
.
Diseases
Validation
Diseases presenting
"motor function"
symptom
adrenomyeloneuropathy
canavan disease
carcinoma of the gallbladder
classical phenylketonuria
gm1 gangliosidosis
hirschsprung disease
hydrocephalus with stenosis of the aqueduct of sylvius
krabbe disease
locked-in syndrome
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