article
Neurogenic bladder dysfunction as signal of late failure of endoscopic third ventriculostomy in child with spina bifida
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Autor
Silva Neto, Ângelo Raimundo da
Uruguay, Ana Luíza R.
Silva , Alice L.P.
Godeiro , Arthur H.M.
Eberlin, Letícia M.N.
Paiva, Damácio S.
Resumen
Endoscopic third ventriculostomy (ETV) is an option for hydrocephalus treatment in patients with myelomeningocele, mostly after a previous shunt dysfunction. Late failure of ETV is a rare event, traditionally associated with dramatic symptoms of intracranial hypertension. In patients with myelodysplasia and neurogenic bladder dysfunction, urodynamic deterioration can be a signal of neurologic worsening as a consequence of tethered cord or shunt problems.