Two achondroplastic children with ventriculomegaly are reported. The p
atients had no signs of increased intracranial pressure, but in one bl
indness had previously been detected by the parents. Neuroradiological
examinations showed ventriculomegaly in both. Intracranial pressure r
emained at high levels (20-55 mmHg) preoperatively; ventriculo-periton
eal shunting was performed in both cases, and postoperatively levels f
ell to normal (5-16 mmHg). The need for the treatment of ventriculomeg
aly seen in achondroplastic children is analyzed on the basis of these
two patients, with a brief review of literature.