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  • Title: Treatment of hydrocephalus in patients with meningomyelocele or encephalocele: a recent series.
    Author: Gamache FW.
    Journal: Childs Nerv Syst; 1995 Aug; 11(8):487-8. PubMed ID: 7585688.
    Abstract:
    Meningomyelocele/encephalocele with associated ventriculomegaly can be treated as a single-stage procedure (i.e., both lesions treated simultaneous) or as two-stage procedures (i.e., each lesion treated at a separate time). A delay in closure of the meningomyelocele/encephalocele is associated with a higher incidence of ventriculitis/ventricular shunt infection-particularly when closure is performed more than 36 h after birth. In these situations, closure followed by surveillance cultures, appropriate antibiotics, ventricular drainage, and then delayed ventricular shunting seems more reasonable.
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