Iranian Journal of Neurosurgery
مجله جراحی مغز و اعصاب ایران
Iran J Neurosurg
Medical Sciences
http://irjns.org
1
admin
2423-6497
2423-6829
10.32598/irjns
en
jalali
1394
9
1
gregorian
2015
12
1
1
3
online
1
fulltext
en
A Rare Cause of Obstructive Chronic Hydrocephalus in an Adult Patient: A Case Report of Fourth Ventricle's Foramina Idiopathic Stenosis
Gamma Knife Radiosurgery
Case report
<p style="text-align: justify;"><strong>Background & Importance</strong>: Idiopathic stenosis of the foramina of Magendie and Luschka is a rare cause of obstructive hydrocephalus involving the fourth ventricle.</p>
<p style="text-align: justify;"><strong>Case Presentation:</strong> We reported the case of a 40-year-old woman who developed headaches and vertigo for several months and more recently gait disturbance. The CT scan showed quadri-ventricular hydrocephalus involving mainly the fourth ventricle with dilated lateral recesses. Craniocervical MRI confirmed hydrocephalus and also showed the brainstem and cerebellar tonsil herniation through the foramen magnum with hydromyelia and a hyperintense signal on T2 weighted MRI of cervical spinal cord. Biological analyses were normal. She underwent endoscopic third ventriculostomy (ETV). No complication was observed. The patient became asymptomatic during the weeks following the surgical procedure and remained stable at a mean follow-up interval of 20 months. Postoperative MR images demonstrated regression of the hydrocephalus; complete disappearance of brainstem and cerebellar tonsil herniation, hydromylia and the hyperintense signal on T2 weighted MRI of cervical spinal cord.</p>
<p style="text-align: justify;"><strong>Conclusion:</strong> This case confirms the existence of hydrocephalus caused by idiopathic fourth ventricle outflows obstruction in adult and the efficacy of ETV for this rare indication.</p>
Hydrocephalus, V4 foramina stenosis, ETV
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http://irjns.org/browse.php?a_code=A-10-100-31&slc_lang=en&sid=1
Ibrahima
Tine
ابراهیما
تاین
10031947532846003038
10031947532846003038
Yes
Unit of Neurosurgery, Principal Hospital of Dakar, Dakar, Senegal, West Africa
Abdou
A. Diop
عبدو
ای. دیوپ
10031947532846003039
10031947532846003039
No
Unit of Neurosurgery, Principal Hospital of Dakar, Dakar, Senegal, West Africa
Ababacar
Mbengue
اباباکار
امبنگو
10031947532846003040
10031947532846003040
No
Department of Imaging, Principal Hospital of Dakar, Dakar, Senegal, West Africa
Abdou
K. Wimenga
عبدو
کی.ویمنگا
10031947532846003041
10031947532846003041
No
Department of Neurosurgery, University Hospital Center of Fann, Dakar, Senegal, West Africa
Paterne
S. Mudekereza
پاترن
اس.مودکرزا
10031947532846003042
10031947532846003042
No
Department of Neurosurgery, University Hospital Center of Fann, Dakar, Senegal, West Africa
Seydou
B. Badiane
سیدو
بی.بادیان
10031947532846003043
10031947532846003043
No
Department of Neurosurgery, University Hospital Center of Fann, Dakar, Senegal, West Africa