Clinical outcomes of temporary shunting for infants with cerebral pseudomeningocele

Abstract

Temporary shunting of infants with pseudo-meningocele constitutes a viable therapeutic alternative with favorable clinical outcomes and a low risk of shunt dependency similar to those of children with SDH.

Cortical herniation through compressive subdural membrane in an infant with a history of a large bihemispheric subdural hematoma and subdural-peritoneal shunt: case report

“…There have been case reports of children with benign enlargement of the subarachnoid space developing spontaneous subdural hemorrhages in the absence of severe trauma. 13,25 Perhaps a preexisting venous anomaly could contribute to the development of benign enlargement of the subarachnoid space and predispose the patient to the SDH. Furthermore, the absence of arachnoid granulations and superficial drainage may also contribute to the lack of physiological CSF absorption and continued dependence on the subdural-peritoneal shunt for ongoing CSF drainage.…”

Comparison of clinical and radiological manifestations and surgical outcomes of pediatric Chiari I malformations in different age groups

“…Because the arachnoid granulations of children are immature, it has been postulated that the CSF absorption occurs through 'minor CSF pathways' [37,38]. Frequent ETV failure in infants is a well-known phenomenon [9][10][11], and different CSF dynamics have been considered to explain the decreased CSF absorption capacity of infants [37][38][39]. In the same context, the higher rate of pseudomeningocele formation after FMD in young children might be a consequence of different CSF dynamics.…”

Considerations in Treating Neonatal and Infantile Patients with a Retrocerebellar Arachnoid Cyst: in the Perspective of Different CSF Dynamics

“…However, later reports suggesting the presence of the minor CSF pathway in other pathologic conditions followed 8,[17][18][19] .…”