Diminished plantar grasp response as an additional indicator of a shunt malfunction in a case of congenital hydrocephalus.
A male infant with congenital hydrocephalus who had undergone ventriculoperitoneal (VP) shunting at 3 days of life exhibited a diminished plantar grasp response (PGR) from 2 months of age, which had clearly recovered 3 months after a shunt revision at 6 months of age. The diminished PGR was the only overt neurological sign in this patient. The precipitous decrease in PGR that occurs during early infancy in a hydrocephalic infant with VP shunting is a possible indicator of a prespastic condition caused by a shunt malfunction.
Futagi
Y
Y
Division of Pediatric Neurology, Osaka Medical Center and Research Institute for Maternal and Child Health, Izumi, Japan. futagi@oak.ocn.ne.jp
Morimoto
K
K
D004868:Equipment Failure; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000601:surgery*; D007231:Infant, Newborn; D008161:Lumbosacral Region; D008279:Magnetic Resonance Imaging; D008297:Male; D001405:Reflex, Babinski / Q000503:physiopathology*; D013595:Syringomyelia / Q000473:pathology; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*