Neuroradiological findings in multiloculated hydrocephalus

Albanese, Vincenzo; Tomasello, Francesco; Sampaolo, Simone; Picozzi, Piero

doi:10.1007/bf01406314

Cited by 10 publications

(3 citation statements)

References 19 publications

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“…These septations vary in their thickness and, thus, prevent communication among the compartments, resulting in loculations forming paraventricular cystic areas that are associated with hydrocephalus. [ 1 ] This is usually seen as a complication of neonatal meningitis or ventriculitis[ 2 3 4 5 6 ] and intraventricular hemorrhage. The other etiological factors that can lead to similar loculations are not very clear.…”

Section: Introductionmentioning

confidence: 99%

“…[ 5 7 ] Though all these children present with clinical signs of hydrocephalus, the management of it differs totally from the uncomplicated hydrocephalus. Computed tomography (CT) or MRI will demonstrate irregular CSF cavities that are separated by septae[ 2 8 ]; however, the treatment of these children remains a significant challenge.…”

Section: Introductionmentioning

confidence: 99%

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Multiloculated hydrocephalus: Evolution of treatments and outcome

Venkataramana

2021

J Pediatr Neurosci

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A BSTRACT Multiloculated hydrocephalus has an overall dismal functional outcome; imaging, early diagnosis, and technological advancements have made new roads in its management. Thirty infants with multiloculated hydrocephalus were studied. Progressive enlargement of the head was the most common presentation in 77%; of these, 47% were treated for neonatal meningitis and septicemia and 20% had suffered birth trauma. The majority required a single ventriculoperitoneal shunt; nine of them required multiple shunts; and six were managed with endoscopic fenestration and endoscopic third ventriculostomy. On follow-up, shunt malfunction was the most common complication. Only 26% of the survivors could achieve normal, neuropsychological developments. The mortality in this series is 6.7%.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multiloculated hydrocephalus: Evolution of treatments and outcome

Venkataramana

2021

J Pediatr Neurosci

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“…3,26 The leading causes of a hydrocephalus are infection and significant intraventricular hemorrhage. 15 Treatment options for multiloculated hydrocephalus consist of microsurgical fenestration of cysts, shunting in which multiple catheters are placed in several cystic compartments, endoscopic fenestration in which communications are established to the ventricles, or a combination of these methods.…”

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confidence: 99%

Navigated endoscopic surgery for multiloculated hydrocephalus in children

Schulz¹,

Böhner

Knaus³

et al. 2010

PED

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Object Multiloculated hydrocephalus remains a challenging condition to treat in the pediatric hydrocephalic population. In a retrospective study, the authors reviewed their experience with navigated endoscopy to treat multiloculated hydrocephalus in children. Methods Between April 2004 and September 2008, navigated endoscopic procedures were performed in 16 children with multiloculated hydrocephalus (median age 8 months, mean age 16.1 ± 23.3 months). In all patients preoperative MR imaging was used for planning entry sites and trajectories of the endoscopic approach for cyst perforation and catheter positioning. Intraoperatively, a rigid endoscope was tracked by the navigation system. For all children the total number of operative procedures, navigated endoscopic procedures, implanted ventricular catheters, and drained compartments were recorded. In addition, postoperative complications and radiological follow-up data were analyzed. Results In 16 children, a total of 91 procedures were performed to treat multiloculated hydrocephalus, including 29 navigated endoscopic surgeries. Finally, 21 navigated procedures involved 1 ventricular catheter and 8 involved 2 catheters for CSF diversion via the shunt. The average number of drained compartments in a shunt was 3.6 ± 1.7 (range 2–9 compartments). In 9 patients (56%) a navigated endoscopic procedure constituted the last procedure within the follow-up period. One additional surgery was necessary in 3 patients (19%) after navigated endoscopy, and in 4 patients (25%) 2 further procedures were necessary after navigated endoscopy. Serial follow-up MR imaging demonstrated evidence of sufficient CSF diversion in all patients. Conclusions Navigated endoscopic surgery is a safe and effective treatment option for multiloculated hydrocephalus. The combination of the endoscopic approach and neuronavigation further refines preoperative planning and intraoperative orientation. The aim of treatment is to drain as many compartments as possible and as soon as possible, thereby establishing sufficient CSF drainage with few ventricular catheters in single shunt systems. Close clinical and radiological follow-up is mandatory because multiple revisions are likely.

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Neurology

Al-Tubaikh

2023

Internal Medicine

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Neuroradiological findings in multiloculated hydrocephalus

Cited by 10 publications

References 19 publications

Multiloculated hydrocephalus: Evolution of treatments and outcome

Multiloculated hydrocephalus: Evolution of treatments and outcome

Navigated endoscopic surgery for multiloculated hydrocephalus in children

Neurology

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