Spectrum of the Syndrome of the Isolated Fourth Ventricle in Posthemorrhagic Hydrocephalus of the Premature Infant

1990 ◽  
Vol 16 (6) ◽  
pp. 305-308 ◽  
Author(s):  
Hector E. James
2013 ◽  
Vol 12 (4) ◽  
pp. 339-343 ◽  
Author(s):  
Pierluigi Longatti ◽  
Elisabetta Marton ◽  
Salima Magrini

Isolated fourth ventricle is not uncommon in complex posthemorrhagic or postinfectious hydrocephalus. When the condition is symptomatic, the current surgical treatment is endoscopic aqueductoplasty, followed by endoscope-assisted placement of a catheter in the fourth ventricle. The authors suggest a very simple method of steering the tip of standard ventricular catheters by using materials commonly available in all operating rooms. The main advantage of this method is that it permits less invasive transaqueductal drainage of trapped fourth ventricles, especially in cases of narrow third ventricle, because the scope and catheter are introduced in sequence and not in a double-barreled fashion. Two illustrative cases are reported.


2011 ◽  
Vol 7 (1) ◽  
pp. 52-63 ◽  
Author(s):  
Suhas Udayakumaran ◽  
Naresh Biyani ◽  
David P. Rosenbaum ◽  
Liat Ben-Sira ◽  
Shlomi Constantini ◽  
...  

Object Trapped fourth ventricle (TFV) is a rare late complication of postinfectious or posthemorrhagic hydrocephalus. This entity is distinct from a large fourth ventricle because TFV entails pressure in the fourth ventricle and posterior fossa due to abnormal inflow and outflow of CSF, causing significant symptoms and signs. As TFV is mostly found in children who were born prematurely and have cerebral palsy, diagnosis and treatment options are a true challenge. Methods Between February 1998 and February 2007, 12 children were treated for TFV in Dana Children's Hospital by posterior fossa craniotomy/craniectomy and opening of the TFV into the spinal subarachnoid space. The authors performed a retrospective analysis of relevant data, including pre- and postoperative clinical characteristics, surgical management, and outcome. Results Thirteen fenestrations of trapped fourth ventricles (FTFVs) were performed in 12 patients. In 6 patients with prominent arachnoid thickening, a stent was left from the opened fourth ventricle into the spinal subarachnoid space. One patient underwent a second FTFV 21 months after the initial procedure. No perioperative complications were encountered. All 12 patients (100%) showed clinical improvement after FTFV. Radiological improvement was seen in only 9 (75%) of the 12 cases. The follow-up period ranged from 2 to 9.5 years (mean 6.11 ± 2.3 years) after FTFV. Conclusions Fenestration of a TFV via craniotomy is a safe and effective option with a very good long-term outcome and low rate of morbidity.


2010 ◽  
Vol 58 (6) ◽  
pp. 953 ◽  
Author(s):  
Laszlo Novak ◽  
Istvan Pataki ◽  
Andrea Nagy ◽  
Ervin Berenyi

2007 ◽  
Vol 69 (7) ◽  
pp. 759-762 ◽  
Author(s):  
Masato KITAGAWA ◽  
Midori OKADA ◽  
Tsuneo SATO ◽  
Kiichi KANAYAMA ◽  
Takeo SAKAI

2019 ◽  
pp. 59-62
Author(s):  
Naresh Panwar ◽  
Manish Agrawal ◽  
Ghanshyam Agrawal ◽  
V. D. Sinha

Spinal arteriovenous malformations (SAVMs) are rare vascular lesions and account for about 4% of primary intraspinal masses. Since SAVMs can involve any location along the spinal column and produce a host of different problems, the symptoms are extremely variable. There are few reports of simultaneous cerebral SAH and intraventricular hemorrhage (IVH) following rupture of a spinal AVM (SAVMs). Herein, we present a rare case of Lumbo Sacral spine arteriovenous malformation, which clinically manifests as sudden onset of severe headache and vomiting due to isolated fourth ventricle Hemorrhage (IVH) without cerebral subarachnoid hemorrhage.


1989 ◽  
pp. 110-111
Author(s):  
Shizuo Oi ◽  
Satoshi Matsumoto

2018 ◽  
Vol 16 (2) ◽  
pp. E70-E70
Author(s):  
Aaron Mohanty ◽  
Kim Manwaring

Neurosurgery ◽  
2012 ◽  
Vol 71 (2) ◽  
pp. E566 ◽  
Author(s):  
Aaron Mohanty ◽  
Satyanarayana Satish ◽  
Kim H. Manwaring

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