Since October 1993 to October 1995, 11 cases of arachnoid cysts in infant of 2 months -14 years old were operated on at the neurosurgical dep of Hanoi Saint-Paul hospital. Results: excellent and good results: 7/11. Relative: 4/11 No death was reported. The author presents an analysis of detailed clinical signs, anotomo - pathology for clinical diagnosis and surgical treatment, and the method of choice for the treatment. The diagnosis must be made early by CT scaning or Echography.
Intracranial Arachnoid Cysts ; child ; surgery

A total of 1,144 cases of skull traumata were treated (vs. 410 cases in 1966). Retrospective survey showed mortality rate was 75.9% in male subjects (66), and was 24.1% in female (21). 69% was patients with aged from 20 to 60 and 25.3% above 60 years. Travelling incidence was the main causes of death, which made up 87,3% of fatal cases. The majority of admitted cases had respiratory disturbance. Assisted injuries were very severe which caused the death in early 6 hours and the death occurred in 50% of fatal cases during 3 first day after the admission
Skull ; Cause of Death

Among 235 operated cases with narrow case of skull, there were 70 (29.8%) cases of skull articular overlap, a cause of narrowness leading to press the brain. This causes the underdevelopment of psychomotor capacity of children. This morbidity is higher in boys than in girls. The rates are as follows: frontal occupital overlap 100% with early close of the fonticulus; head circle measurement less than 1-2.5 cm incomparing with seizure 78.6%, psychomotor under development from mild to severe 86.7%. In electroencephalogram, 42 cases occur the wave od seizure. After operation of correction of deformity of the bone, in 53.4% children normal development restored, in 29.2% part of symptoms reduces, in 17.3% no improvement noted
Child ; Skull ; Arthrometry, Articular ; surgery ; Therapeutics

A retrospective study on a case of pediatric patients with hydrocephalus due to meningitis was treated at Tay Duc Paediatric Hospital – Haiphong City. Results shows that: hydrocephalus is non-malignant except brain tumour. Symptoms in children under one year of age: head circumference is enlarged rapidly, fontanel’s and skull bones bulging, thin-haired, venae under head skin emerged clearly, eyes are turned downwards. Symptoms in older children and adults including headache, quick reduction of vision. To have better treatment results, it should be detected and operated early. For hydrocephalus caused by brain tumour, placement surgery of a abdominal-ventricular catheter should be done before operation to help reducing pressure for laparoscopic surgery, minimizing mortality rate and having recupation for better surgical condition later. If the tumour had bad prognosis not be operated, placement of a abdominal-ventricular.
Hydrocephalus ; Hydrocephalus/rehabilitation ; Brain

On occasion of a hydrosyringomyelie accompanied with communicating hydrocephalus which was managed successfully and literature referred, the authors had some remarks about management of this disease. Some remarks of such as: the disease often appears in one region, most in cervical and upper thoracic of the spinal canal. It is the rare disease caused by many sources. It may be congenital approximately 50-70% of CHIARI I (Menezes) and 40-95% of CHIAR II (Naidich). It may be also secondary to spinal trauma, myelitis (virus, bacteria, tuber culosis bacillus...vv.) Signals and symptoms are poorly. The diagnosis is difficulty but no longer now because of applying MRI. Since this disease is accompanied with others malformations, the management have some differences, depending on the caused of the disease
Spinal Diseases ; Diagnosis ; Therapeutics

Pineal gland is structured by special morphology of neural cells. The tumor originates from the gland or its surrounding tissnes therefore these tumors have histologically different origins. They are in deep location with narrow path inward. Pineal tumor has not specific symptoms and usually diagnosed lately. The removal surgery comfuses of 2 stages - first: brain ventricular-abdomen drainage, second: tumor removal within 2-3 weeks after the first stage. There are 5 methods to approach the tumor, with own advantages and short comings
Pineal Gland ; Neoplasms ; Casts, Surgical ; surgery ; Therapeutics ;

Objectives: Introduction of the operative technique, creteria of indication for the operation and results. Subjects: 75 patients in 2000 (male: 56; female: 19) The results: the cerebral haemorrhage due to cerebro-vascular accident sometimes were intervented by surgery (specific indication) which helped improving the internal treatment. The procedure of operation involved the drilling the skull and aspiration of the blood. The creteria for surgery by experiences of 100 operations were no limitation of age, Glasgow score: 6; diameter of the blood aggregation : 2 cm. Position of the blood aggregation: any position excluding the cerebral stem. The internal treatment was continued and rehabitation (if having paralysis).
Hemorrhage ; Cerebral Arterial Diseases ; therapeutics ; Cerebral Hemorrhage

A study on 65 patients with the blood aggregation in brain due to the cerebrovascular accident operated in Saint-Paul hospital during 1999-10/2000 (male: 48, female: 17, youngest: 17, eldest: 74) has shown that the cause of disease: hypertension (65%), the position of blood aggregation: temporal area: 37; frontal area: 15; occipital area: 10; behind hollow: 2 ventricle of cerebrum: 1; the blood aggregation focus runs in to the ventricle of cerebrum: 21/65. There is no different between the right and left of hemisphere, 33,84% patients were indicated the emergency operation and 56,92% patients operated after accident 5 -15 days.
Urethral Diseases ; Lithotripsy

The cerebral-ventricular apoplexy is not common complication. Among 158 patients with intracerebral blood clot, there were 5 cases of the cerebral-ventricular apoplexy (male: 2; female: 3) between the ages of 19 and 42. The clinical manifestations were usually poor. These manifestations in the young people included headache, stroke and coming to coma. The disease mainly discovered by CT scanner. The internal treatment indicated for patients with the cerebral ventricular apoplexy with Glasgow score above 8. The surgical intervention indicated for patients with gradual reduction of Glasgow score and immediate coma after apoplexy.
Cerebrovascular Accident ; Therapeutics

In 6 years period (1993-1998) 243 cases of brain tumor in children have been operated at the Dep. of Neurosurgery of Hanoi Saint-Paul hospital. The author presents a study of localisation and anato pathology of tumors, methods of treatment and operative results.
Brain Neoplasms ; therapeutics ; surgery ; child