An Unusual Cause of Irritability in a Single Ventricle Patient after Bidirectional Glenn Shunt
作者机构:The Heart InstituteCincinnati Children’s Hospital Medical CenterUniversity of Cincinnati College of MedicineCincinnatiOhioUSA Division of NeurologyCincinnati Children’s Hospital Medical CenterDepartment of PediatricsUniversity of Cincinnati College of MedicineCincinnatiOhioUSA
出 版 物:《Congenital Heart Disease》 (先天性心脏病(英文))
年 卷 期:2021年第16卷第4期
页 面:393-396页
核心收录:
学科分类:1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1010[医学-医学技术(可授医学、理学学位)] 0703[理学-化学] 100214[医学-肿瘤学] 0702[理学-物理学] 1009[医学-特种医学] 10[医学]
主 题:Single ventricle bidirectional Glenn shunt idiopathic intracranial hypertension pseudotumor cerebri
摘 要:The differential diagnosis for irritability in children is *** patients with congenital heart disease,one must strongly consider cardiac etiologies such as low cardiac output or elevated central venous pressure(CVP).In patients with single-ventricle physiology,the second stage of palliation includes bidirectional Glenn,which involves anastomosis of the superior vena cava to the pulmonary artery resulting in volume offloading of the single systemic ***,early in the post-operative period,patients may experience a headache due to the acute increase in CVP,and symptoms improve over *** intracranial hypertension(IIH),also known as pseudotumor cerebri,is a rare neurologic disorder in children,characterized by raised intracranial pressure(ICP)in the absence of brain parenchymal lesions or cerebrospinal fluid(CSF)*** the pathogenesis of IIH is unknown,early recognition and treatment of IIH are important to prevent permanent vision *** are only rare reports of IIH in patients with Fontan *** our knowledge,we report the first case of IIH in a 2-year-old female after bidirectional Glenn.