Patient's question:
Patient is male, 7 months old. He was born with jaundice and recovered after 1 month of intravenous drip treatment. His physical development was relatively normal before this. At 6 months old, during a routine check-up, his head circumference was measured at 47 cm, and the doctor suspected hydrocephalus. On July 13, 2012, an MRI was taken. The radiological findings showed: no obvious abnormal signals in the bilateral cerebral hemispheres, normal morphology and signals in the bilateral cerebellum and brainstem. The bilateral lateral ventricles and third ventricles were widened and enlarged, with transverse diameters of 52 mm and 24 mm, respectively. No obvious abnormal signals were observed inside. The mesencephalic aqueduct was poorly visualized. The fourth ventricle was not enlarged. There was no obvious midline shift. The radiological opinion: Obstructive hydrocephalus (the obstruction site is approximately at the level of the mesencephalic aqueduct).Doctor's answer:
The film shows an obstruction at the foramen of Monro in the midbrain, and a third ventricle floor could be performed. However, a VP shunt has already been done with an infection, so we can only wait and see how the child's condition develops before determining if there is another surgical opportunity.