Unfortunately I'm unable to open any of the CT files.

I get an error Message when I try.  However, it sounds

like most of his problems are medical rather than surgical.

I don't have anything further to suggest, except if the

ascitis is hindering the shunt by not absorbing the fluid,

then either externalizing the shunt or surgically placing

it into the jugular vein can be entertained.  Judging from

the notes of resolving ascitis, and normal pressure in the

ventricles it doesn’t sound like this is necessary. I wish

I had more to offer, and I wish him and his family well.

As always, the doctors caring directly for him have the

most information, and are best equipped to make decisions

for him.

Bill Mastrodimos

Parham Memorial

The Children's Hospital Medical Center

Mofid Kids Hospital

Behgar Tavan

Surgery Centre

Tel/Fax: +98 21 2900679    +98 21 2227207

E-Mail: Info@ParhamMedical.org