A 4‐year‐old girl was addressed to our department with a
1‐year clinical history of clumsiness, gradual cognitive decline, language
disorders, and chronic headaches. Her parents reported a dramatic drop in
school performance. Clinical evaluation showed no macrocrania and no abnormalities
in long tracts, cranial nerves, or cerebellar function. Neuropsychological
evaluation revealed alterations of executive functions (nonverbal solving
tasks, visuospatial planning, and organization), attention and concentration,
short and long‐term memory (visuospatial, story, and word‐list recalls), motor
apraxia (skilled movements, imitation, and pantomime of gestures), lower
phonemic verbal fluency and speech apraxia (initiation, articulation, and
prosody)...
Endocrinological investigations showed preserved pituitary
function and ophthalmological examination was normal, without papillary edema.
We performed a minimally invasive neuroendoscopic procedure to fenestrate the
cyst with the ventricles and basal cisterns...
The patient recovered fully after a few weeks and went back
to school with complete resolution of symptoms. Neuropsychological evaluation
was normal at 5‐year follow‐up.
Preoperative:
No comments:
Post a Comment