Clinical outcome after near-fatal late shunt complication in XXXX .

@entity1 @entity3976 @entity1276 @entity548 @entity428 @entity16 @entity409 @entity2507 @entity1159
Shunt revision is inevitable in most shunted hydrocephalic @entity1 but the revisions rarely affect the prognosis markedly. This report presents the case of an otherwise healthy @entity1 who, after an uneventful gestation and birth, manifested @entity1276 in the neonatal period and was shunted at the age of 3 months. His subsequent development and school performance were normal until the age of 10 years, when he developed his first episode of @entity409 . During the emergency shunt revision, @entity548 occurred, causing @entity16 and signs. In the promptly undertaken reoperation external drainage was inserted but accidentally without a functioning air needle. The intracranial pressure (ICP) rose to 40 cm @entity2507 before correction. These incidents were followed by a 4-month period of unstable shunt function (12 reoperations) and deteriorating neurology. When stable shunt function was eventually achieved, he had severe @entity1159 , minimal active motor function and no active speech. During a 2-year period of rehabilitation, he recovered almost normal motor function and normal intellectual function. Memory functions, vigilance and concentration span remained clearly subnormal. He returned to normal school and his performance is average. It is concluded that the relatively favourable outcome is the probable result of reversible partial @entity3976 and @entity428 .
