Spontaneous third ventriculocisternostomy in an infant with obstructive hydrocephalus

Gallia, Gary L.; Teo, Charles

doi:10.3171/ped/2008/1/6/477

Cited by 14 publications

(12 citation statements)

References 12 publications

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“…The measurements obtained from PC acquisitions are the result from data collected over a large number of cardiac cycles. The final velocity waveform represents an average measurement of those cycles, but it is presented as one cycle (5) .…”

Section: Discussionmentioning

confidence: 99%

Role of MRI CSF Flowmetry in Evaluation of Hydrocephalus in Pediatric Patients

Abdelhameed

Darweesh

Bedair

2017

Egyptian Journal of Hospital Medicine

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Background: phase contrast MR imaging is a rapid, simple and non-invasive technique which is sensitive to even small CSF flows, and can be used to evaluate CSF flow both qualitatively and quantitatively. Cine phase contrast MR images show CSF flow in a dynamic, more easily appreciable, and in a more pleasing manner, allowing the delineation of obstruction, if present, along the portions of CSF pathway where obstruction is common (foramen of Monro, acqueduct of Sylvius) Patients and Methods: the study includes 20 patients from the pediatric population with ventriculomegaly (diagnosed by a radiological report) referred from Ain Shams Pediatric Hospital, Neurosurgery department at Ain Sahms University, clinic, and outpatients. Control group of 20 pediatric patients of matched age group underwent CSF flow study to obtain normal reference values. These patients had no hydrocephalus and came to our institute to undergo MRI for other neurological causes. CSF flowmetry was added to their study after obtaining oral informed consent from their parents. Results: our study included 20 patients, 8 males and 12 females, with age range 2 months -12 years and average age 3.5 years old. All patients included were diagnosed with hydrocephalus by a previous radiological report. All patients underwent conventional MRI brain and CSF flowmetry. Patients were given diagnosis based on findings of conventional MR images, and were categorized into groups according to their underlying etiologies. 9 patients had aqueductal stenosis, 4 patients had atrophy, 2 patients had communicating hydrocephalus, 2 patients had Arnold Chiari malformation, 1 patient had Dandy-Walker variant, 1 patient had obstruction at foramen of Monro, and 1 had obstruction at foramen of Magendi. CSF flowmetry was added to evaluate the cause of hydrocephalus. Conclusion: phase contrast MR imaging is a rapid, simple and non-invasive technique which is sensitive to even small CSF flows, and can be used to evaluate CSF flow both qualitatively and quantitatively, and could be used in conjunction with conventional MRI in assessment of cases of hydrocephalus.

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Section: Discussionmentioning

confidence: 99%

Role of MRI CSF Flowmetry in Evaluation of Hydrocephalus in Pediatric Patients

Abdelhameed

Darweesh

Bedair

2017

Egyptian Journal of Hospital Medicine

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“…Temporary CSF diversion is included in the protocols of many departments, with the objective of reducing the risk of recurrence, whether an endoscopic endonasal approach or an intracranial approach is chosen [4,18,28]. Measurement of CSF pressure after the repair and immediate ventriculoperitoneal shunting if necessary are additional to these protocols [4,7,28]. The lumboperitoneal shunt provides a solution when direct methods of treatment have failed, and this should be considered as a primary mode of treatment in elderly patients [1].…”

Section: Discussionmentioning

confidence: 99%

Ethmoidal meningoencephalocele and CSF leak after posthaemorrhagic ventricular dilatation in a newborn child

et al. 2015

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“…[18–10] Previously reported cases were noted to have occurred secondary to obstructive hydrocephalus caused by neoplastic disease or by benign stenosis of the aqueduct, mostly in adults. [25781011] There were a few reports of spontaneous ventriculostomy in infants due to aqueductal stenosis involving the third ventricle[36] and only one occurring as a consequence of congenital stenosis of the foramen of Monro. [1] Spontaneous ventriculostomy may occur in a number of locations, but only four reports refer to the atrium of the lateral ventricle.…”

Section: Discussionmentioning

confidence: 99%

Relocation of ventricular catheter trough ventriculostomy due to congenital unilateral hydrocephalus: Nine year follow-up

Zoran¹,

Biljana²,

Ivana³

2011

Surg Neurol Int

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Background:Congenital unilateral hydrocephalus is an uncommon entity occurring almost exclusively in children. Atresia, stenosis, membranous occlusion and even functional obstruction of the foramen of Monro have been described to be the main cause of this type of hydrocephalus. There are two options available in the surgical management of unilateral hydrocephalus: one is the placement of shunt CSF diversion from the dilated ventricle and the other is fenestration of the occluded foramen of Monro or septum pellucidum by endoscopy or by stereotactic method. Migration of the ventriculoperitoneal (VP) shunt in or out of ventricles is not so uncommon, but the relocation of the ventricular tip of a catheter from the ventricle into the quadrigeminal cisterns and superior vermis in association with ventriculostomy is extremely rare. Spontaneous ventriculostomy is a rare event and results from spontaneous rupture of a ventricle into the subarachnoid space.Case Description:A 5½-month-old baby with a right-sided congenital unilateral hydrocephalus underwent a VP shunt andhad experienced an uneventful outcome. Four years later on an MR imaging examination, the tip of the ventricular catheter passing through the medial wall of the ventricle and the quadrigeminal cistern was found to be situated in the superior vermis. During the follow-up period, there were no neurological difficulties. The cognitive and motor skill development corresponded well with the child's age. It transpired that the hydrocephalic ventricle reduced its size dramatically to normal.Conclusion:We have described the extremely rare site of the relocation of the ventricular catheter after the treatment of the congenital unilateral hydrocephalus by VP shunting. Spontaneous ventriculostomy as a rare phenomenon may be the explanation of the relocation of the ventricular catheter.

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Spontaneous third ventriculocisternostomy in an infant with obstructive hydrocephalus

Cited by 14 publications

References 12 publications

Role of MRI CSF Flowmetry in Evaluation of Hydrocephalus in Pediatric Patients

Role of MRI CSF Flowmetry in Evaluation of Hydrocephalus in Pediatric Patients

Ethmoidal meningoencephalocele and CSF leak after posthaemorrhagic ventricular dilatation in a newborn child

Relocation of ventricular catheter trough ventriculostomy due to congenital unilateral hydrocephalus: Nine year follow-up

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