Gupta Rahul, Barolia Dinesh Kumar, Goyal Manisha
Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India.
Department of Paediatrics, SMS Medical College, Jaipur, Rajasthan, India.
Asian J Neurosurg. 2018 Oct-Dec;13(4):1239-1243. doi: 10.4103/ajns.AJNS_128_17.
A 3-month-old-male infant presented with enlargement of head since birth. Clinical and radiological evaluation revealed congenital hydrocephalus, corpus callosum agenesis, prosencephalic cyst, and cranial vault deficiency with supernumerary nostril on the left side. Right ventriculoperitoneal shunt (Chhabra shunt) surgery was performed. The patient did well postoperatively. Parents of the patient have been counseled for repair of supernumerary nostril. Congenital hydrocephalus with corpus callosum agenesis is rare. Furthermore, supernumerary nostril is a very rare anomaly with <40 cases reported in the literature till date. To the best of our knowledge, congenital hydrocephalus, corpus callosum agenesis, prosencephalic cyst, and cranial vault deficiency associated with supernumerary nostril have not been reported till date. We herein briefly review the pertinent literature and describe the embryopathogenesis of this rare association. We propose that this association is a neurocristopathy.
一名3个月大的男婴自出生以来头部不断增大。临床和影像学评估显示为先天性脑积水、胼胝体发育不全、前脑囊肿以及伴有左侧多余鼻孔的颅顶缺损。实施了右脑室腹腔分流术(Chhabra分流术)。术后患者情况良好。已建议患者父母对多余鼻孔进行修复。先天性脑积水合并胼胝体发育不全较为罕见。此外,多余鼻孔是一种极为罕见的畸形,迄今为止文献报道的病例不足40例。据我们所知,先天性脑积水、胼胝体发育不全、前脑囊肿以及伴有多余鼻孔的颅顶缺损迄今为止尚未见报道。在此,我们简要回顾相关文献并描述这种罕见关联的胚胎发病机制。我们认为这种关联是一种神经嵴病。