Abstract

DUQUE, Valentina et al. Visual and neurological impairment post-dysfunction in the ventricle-peritoneal shunt system: A case report. Biomed. [online]. 2021, vol.41, n.1, pp.17-28.  Epub Mar 19, 2021. ISSN 0120-4157.  https://doi.org/10.7705/biomedica.5657.

Neurological visual impairments in children have multiple causes, some of them reversible while others are not. Hydrocephalus is one of the most important and common ones as it can result in permanent impairment. There are multiple causes of hydrocephalus, intraventricular hemorrhage being the main one. This generally occurs when the germinal matrix bleeds and is very common in preterm newborns.

We present the clinical case of a patient with cerebral palsy, intraventricular hemorrhage, and hydrocephalus as a result of a preterm multiple pregnancy who developed optic atrophy during childhood secondary to ventricle-peritoneal shunt dysfunction. During the rehabilitation and treatment period, she received neurorehabilitation sessions, which improved her visual acuity and capacity. We found similarities and differences with other cases and we confirmed the importance of the treatment chosen for the recovery of visual capacity.

Keywords : Cerebral palsy; cerebral hemorrhage; hydrocephalus; vision, low; neurological rehabilitation; ventricle-peritoneal shunt; optic atrophy.

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