Yvans Tsague – Hydrocephalus Treatment and Shunting

Yvans Tsague has come a long way – from a childhood in the African nation of Cameroon to the United States as an immigrant in 2005. Today, the nineteen year-old is a Rutgers University sophomore studying finance.

But the path to a healthy and productive future for the resident of Piscataway, NJ, would never have been possible without the care of Dr. Arno Fried, an expert in pediatric neurosurgery and in the treatment of tumors of the central nervous system (video here), Dr. Allison M. Rathmann, and the team of pediatric neurosurgeons at Advanced Neurosurgery Associates (ANA).

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Five years after arriving in the U.S. and settling in New Jersey, Yvans was taken by his mother to the emergency room at Saint Peter’s University Hospital in New Brunswick experiencing symptoms of nausea, headaches, loss of memory, an unsteady gait and urinary incontinence – all indications of hydrocephalus, or water on the brain.

After an initial surgery in 2010 for a ventriculoperitoneal shunt (VSP), Yvans developed a series of complications over the next three years that culminated with abdominal pain and a fullness in his belly. (According to the Hydrocephalus Association, “an estimated 50% of shunts in the pediatric population fail within two years of placement and repeated neurosurgical operations are often required.) He was found to have a shunt infection in the abdomen because that is where the catheter is placed so fluid drains from the brain. The shunt was externalized by Dr. Allison M. Rathmann, then reinternalized shortly afterward.

The diligence, expertise and skill of ANA Drs. Fried and Rathmann have improved the condition and lives of many young people and children like Yvans Tsague and Gabriella Fiorentino. At ANA, our expert pediatric neurosurgeons not only evaluate, diagnose, and treat adolescents, children, and infants with diseases of the nervous system, we are passionate about providing the very best in compassionate care for our patients and their families under often difficult circumstances.