keyword
https://read.qxmd.com/read/33708666/endoscopic-third-ventriculostomy-in-failed-ventriculoperitoneal-shunt-in-pediatric-population
#21
JOURNAL ARTICLE
Ajay Choudhary, Shivender Sobti, Sourabh Zambre, Suryanarayanan Bhaskar
Introduction: Ventriculoperitoneal (VP) shunt malfunction is common in pediatric age group patients. There is a high complication rate and revision rate of VP shunt. Endoscopic third ventriculostomy (ETV) can alleviate these complications and can act as an effective alternative for the treatment of hydrocephalus in this age group of patients. Materials and Methods: The authors retrospectively reviewed the management and outcome of 36 failed VP shunts in pediatric patients for the treatment of hydrocephalus...
October 2020: Asian Journal of Neurosurgery
https://read.qxmd.com/read/33652442/endoscopic-third-ventriculostomy-in-infants-less-than-one-year-of-age-a-short-series-of-14-cases
#22
JOURNAL ARTICLE
Sarita Chowdhary, Shyamendra Pratap Sharma, Pranaya Panigrahi, Manoj Kumar Yadav, Shiv Prasad Sharma
BACKGROUND: Endoscopic third ventriculostomy (ETV) is currently considered as an alternative to cerebrospinal fluid (CSF) shunt systems in the treatment of obstructive hydrocephalus. This procedure allows the CSF to drain in the basal cisterns and reabsorbed by arachnoid granulations, and avoiding implantation of exogenous material. AIMS AND OBJECTIVES: The purpose of this study was to assess the success rate of ETV in infants less than 1 year of age with congenital noncommunicating hydrocephalus...
2021: Pediatric Neurosurgery
https://read.qxmd.com/read/33494065/-ependymoma-of-the-sella-turcica-and-suprasellar-region
#23
JOURNAL ARTICLE
Kohei Hashino, Taku Sato, Yugo Kishida, Yosuke Kuromi, Yuichiro Kiko, Masayuki Yamada, Masao Tambara, Jun Sakuma, Kiyoshi Saito
An ependymoma of the sella turcica and the suprasellar region has been described by only 10 reports in the available literature. We describe similar pathology in a 70-year-old woman who presented with dementia and visual disturbance. Magnetic resonance imaging with gadolinium revealed a mixed contrast-enhanced lesion(maximum diameter 3.5 cm)in the sella turcica and suprasellar area associated with a noncommunicating hydrocephalus. The patient was preoperatively presumptively diagnosed with a craniopharyngioma...
January 2021: No Shinkei Geka. Neurological Surgery
https://read.qxmd.com/read/33444837/hydrocephalus-caused-by-primary-fourth-ventricle-outlet-obstruction-our-experience-and-literature-review
#24
REVIEW
Ondřej Krejčí, Tomáš Krejčí, Michael Mrůzek, Zdeněk Večeřa, Dana Šalounová, Radim Lipina
OBJECTIVE: Primary fourth ventricle outlet obstruction (PFVOO) is a rare cause of hydrocephalus with an unclear etiopathogenesis, and thus, consensus regarding the recommended treatment protocol is lacking. This study aims to summarize current knowledge of this condition in the light of our own treatment experience. METHODS: Retrospective analysis was carried out of all patients treated for noncommunicating tetraventricular hydrocephalus between 2006 and 2019, from which a subgroup of patients with PFVOO was created...
April 2021: World Neurosurgery
https://read.qxmd.com/read/33421205/cerebrospinal-fluid-flow-on-time-spatial-labeling-inversion-pulse-images-before-and-after-treatment-of-congenital-hydrocephalus-in-a-dog
#25
Daisuke Ito, Chieko Ishikawa, Nick D Jeffery, Masato Kitagawa
A 3-month-old male cross-breed dog presented with signs of progressive diffuse brain disease. Noncommunicating congenital hydrocephalus concurrent with cervical syringomyelia was diagnosed on magnetic resonance images. On time-spatial labeling inversion pulse (Time-SLIP) images CSF flow through the mesencephalic aqueduct was poorly defined and there was flow into the syrinx across the craniocervical junction. After percutaneous ventricular drainage and ventriculoperitoneal shunting, CSF flow through the aqueduct was clearly detected and flow into the syrinx disappeared...
January 2021: Journal of Veterinary Internal Medicine
https://read.qxmd.com/read/33201631/-a-newborn-with-a-downward-stare
#26
JOURNAL ARTICLE
Kimberley Bonouvrié, Shari Schroven
Macrocephaly in a two month old boy. Early recognition of noncommunicating hydrocephalus can lead to surgical intervention which can prevent severe brain atrophy.
November 5, 2020: Nederlands Tijdschrift Voor Geneeskunde
https://read.qxmd.com/read/32358466/blepharospasm-with-photophobia-secondary-to-midbrain-tuberculoma-and-thalamic-infarct
#27
JOURNAL ARTICLE
Anjali Chouksey, Sanjay Pandey
INTRODUCTION: Blepharospasm is a type of focal dystonia and categorized into primary and secondary forms, based on whether or not a cause can be established. Secondary blepharospasm is uncommon and can be associated with underlying brain lesions. Photophobia is a prominent complaint in blepharospasm patients. We are reporting a case of secondary blepharospasm with photophobia in a patient who had underlying midbrain tuberculoma and thalamic infarcts. This type of presentation has not been reported to the best of our knowledge...
May 2020: Neurologist
https://read.qxmd.com/read/31565904/predicting-endoscopic-third-ventriculostomy-success-in-adult-hydrocephalus-preliminary-assessment-of-a-modified-etv-success-score-for-adults-etvss-a-in-a-series-of-47-patients
#28
JOURNAL ARTICLE
Sara Bruscella, Domenico Solari, Teresa Somma, Marcello Barbato, Michelangelo Gangemi, Luigi M Cavallo
BACKGROUND: Endoscopic third ventriculostomy is an established treatment for noncommunicating hydrocephalus. In carefully selected patients, it can be adopted for the management of communicating variant; however controversy exists in regards to the definition of the appropriate candidates. Predictive score of Endoscopic Third Ventriculostomy Success (ETVSS) has been reported for pediatric and mixed populations only. Our purpose was to define a ETV success score for adult population (ETVSS-A), measuring the strength of correlation between preoperative score retrospectively evaluated and the success rates achieved in a class of adult patients...
September 23, 2019: Journal of Neurosurgical Sciences
https://read.qxmd.com/read/31135572/defining-a-taxonomy-of-intracranial-hypertension-is-icp-more-than-just-a-number
#29
REVIEW
W Andrew Kofke, Swarna Rajagopalan, Diana Ayubcha, Ramani Balu, Jovany Cruz-Navarro, Panumart Manatpon, Elizabeth Mahanna-Gabrielli
Intracranial pressure (ICP) monitoring and control is a cornerstone of neuroanesthesia and neurocritical care. However, because elevated ICP can be due to multiple pathophysiological processes, its interpretation is not straightforward. We propose a formal taxonomy of intracranial hypertension, which defines ICP elevations into 3 major pathophysiological subsets: increased cerebral blood volume, masses and edema, and hydrocephalus. (1) Increased cerebral blood volume increases ICP and arises secondary to arterial or venous hypervolemia...
April 2020: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/31124959/severe-vertebrobasilar-dolichoectasia-as-a-cause-of-obstructive-hydrocephalus-a-case-report
#30
JOURNAL ARTICLE
Jong-Myong Lee, Jung Soo Park, Eun-Jeong Koh
RATIONALE: Dolichoectasia of the vertebrobasilar artery is a vascular anomaly characterized by marked elongating, widening, and tortuosity of the arteries. Although this anomaly is usually asymptomatic, it may present with ischemic symptoms or mass effect involving brainstem or cranial nerves. PATIENT CONCERNS: A 52-year-old male was admitted with headache and visual field defect. DIAGNOSES: Computed tomography and magnetic resonance imaging showed noncommunicating hydrocephalus due to vertebrobasilar dolichoectasia...
May 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30937005/endoscopic-third-ventriculostomy-in-noncommunicating-hydrocephalus-report-on-a-short-series-of-53-children
#31
JOURNAL ARTICLE
Arif Sarmast, Nayil Khursheed, Altaf Ramzan, Feroz Shaheen, Abrar Wani, Sarbjit Singh, Zulfikar Ali, Bashir Dar
Introduction: Endoscopoic third ventriculostomy (ETV) is currently considered the best alternative to cerebrospinal fluid (CSF) shunt systems in the treatment of obstructive hydrocephalus. The aim of ETV is to communicate the third ventricle with the interpendicular cistern and create CSF flow which bypasses an obstruction to the circulation of the CSF. Aims and Objectives: The purpose of this study was to elucidate the indications, efficacy, safety and outcome Of ETV pediatric patients of noncommunicating hydrocephalus...
January 2019: Asian Journal of Neurosurgery
https://read.qxmd.com/read/30662197/role-of-3d-space-sequence-and-susceptibility-weighted-imaging-in-the-evaluation-of-hydrocephalus-and-treatment-oriented-refined-classification-of-hydrocephalus
#32
JOURNAL ARTICLE
Amarnath Chellathurai, Komalavalli Subbiah, Barakath Nisha Abdul Ajis, Suhasini Balasubramaniam, Sathyan Gnanasigamani
Objective: The aim of our study was to evaluate the diagnostic utility of three-dimensional sampling perfection with application optimized contrast using different flip angle evolution (3D SPACE) sequence and Susceptibility Weighted Imaging (SWI) in hydrocephalus and to propose a refined definition and classification of hydrocephalus with relevance to the selection of treatment option. Materials and Methods: A prospective study of 109 patients with hydrocephalus was performed with magnetic resonance imaging (MRI) brain using standardized institutional sequences along with additional sequences 3D SPACE and SWI...
October 2018: Indian Journal of Radiology & Imaging
https://read.qxmd.com/read/30334940/endoscopic-third-ventriculostomy-and-ventriculoperitoneal-shunt-for-patients-with-noncommunicating-hydrocephalus-a-prisma-compliant-meta-analysis
#33
REVIEW
Lin Jiang, Guangzhong Gao, Yanfeng Zhou
BACKGROUND: The surgical methods of endoscopic third ventriculostomy (ETV) and ventriculoperitoneal shunt (VS) for patients with noncommunicating hydrocephalus have rapidly increased in the past 2 decades. However, there is controversy regarding the efficacy and safety of these 2 surgical methods for noncommunicating hydrocephalus. The purpose of this study was to identify whether ETV is safer and more efficacious than VS for patients with noncommunicating hydrocephalus. METHODS: We performed electronic searches in PubMed, Embase, China National Knowledge Internet, and the Cochrane Library to identify studies published up to February 03, 2018...
October 2018: Medicine (Baltimore)
https://read.qxmd.com/read/29787500/evaluation-of-the-communication-between-arachnoid-cysts-and-neighboring-cerebrospinal-fluid-spaces-by-t2w-3d-space-with-variant-flip-angle-technique-at-3-t
#34
JOURNAL ARTICLE
Oktay Algin
PURPOSE: Phase-contrast cine magnetic resonance imaging (PC-MRI) is a widely used technique for determination of possible communication of arachnoid cysts (ACs). Three-dimensional (3D) sampling perfection with application-optimized contrasts using different flip-angle evolutions (3D-SPACE) technique is a relatively new method for 3D isotropic scanning of the entire cranium within a short time. In this research, the usage of the 3D-SPACE technique in differentiation of communicating or noncommunicating type ACs was evaluated...
September 2018: Journal of Computer Assisted Tomography
https://read.qxmd.com/read/29271709/outcomes-following-cerebrospinal-fluid-shunting-in-high-grade-glioma-patients
#35
JOURNAL ARTICLE
Lorenzo Rinaldo, Desmond Brown, Giuseppe Lanzino, Ian F Parney
OBJECTIVE The clinical course of high-grade central nervous system gliomas is occasionally complicated by hydrocephalus. The risks of shunt placement and clinical outcome following CSF diversion in this population are not well defined. METHODS The authors retrospectively reviewed the outcomes of patients with pathologically confirmed WHO grade III or IV gliomas with shunt-treated hydrocephalus at their institution. Outcomes of patients in this cohort were compared with those of patients who underwent shunt treatment for normal pressure hydrocephalus (NPH)...
December 22, 2017: Journal of Neurosurgery
https://read.qxmd.com/read/29155114/risks-of-endoscopic-temporal-ventriculocisternostomy-for-isolated-lateral-ventricle-anatomic-surgical-nuances
#36
JOURNAL ARTICLE
Takatoshi Hasegawa, Toshihiro Ogiwara, Alhusain Nagm, Tetsuya Goto, Tatsuro Aoyama, Kazuhiro Hongo
BACKGROUND: Entrapment of the temporal horn, known as isolated lateral ventricle (ILV), is a rare type of noncommunicating focal hydrocephalus, and standard treatment has not been established. We report 2 cases of endoscopic surgery for ILV and highlight the anatomic surgical nuances to avoid associated surgical risks. CASE DESCRIPTION: The first patient presented with recurrent ILV following initial shunt placement for ILV, owing to shunt malfunction. In the second patient, ILV recurred secondary to choroid plexus inflammation caused by cryptococcal infection...
February 2018: World Neurosurgery
https://read.qxmd.com/read/29027870/flow-diversion-of-a-recurrent-iatrogenic-basilar-tip-aneurysm-in-a-pediatric-patient-case-report
#37
JOURNAL ARTICLE
Rahul A Sastry, Matthew J Koch, Benjamin L Grannan, Christopher J Stapleton, William E Butler, Aman B Patel
Endoscopic third ventriculostomy (ETV) is a common treatment for noncommunicating hydrocephalus. Although rare, vascular injury and traumatic pseudoaneurysm development during ETV have been reported. The authors present the case of a 13-year-old boy who underwent repeat ETV (rETV) for shunt and ETV failure, and who suffered an intraoperative subarachnoid hemorrhage due to iatrogenic injury to the basilar tip, with subsequent development of a pseudoaneurysm. Despite initial primary coil embolization, the aneurysm recurred and was definitively treated with flow diversion...
January 2018: Journal of Neurosurgery. Pediatrics
https://read.qxmd.com/read/28946146/third-ventricle-germ-cell-tumor-originating-from-the-infundibulum-with-rapidly-expansive-enlargement
#38
JOURNAL ARTICLE
Yuichiro Yoneoka, Junichi Yoshimura, Masakazu Sano, Masayasu Okada, Akiyoshi Kakita, Yukihiko Fujii
We present a pediatric case of a rapidly expanding third ventricle germ cell tumor (GCT). A 14-year-old boy suffered from gradual-onset central diabetes insipidus (DI) and received desmopressin treatment. Magnetic resonance imaging (MRI) showed nonspecific findings of the pituitary-hypothalamic axis. Nine months after the initial DI diagnosis, he developed progressively worsening headache. MRI demonstrated a third ventricle tumor causing noncommunicating hydrocephalus, although an MRI 16 weeks before admission did not show the lesion...
2018: Pediatric Neurosurgery
https://read.qxmd.com/read/28799879/the-pathophysiology-of-chronic-noncommunicating-hydrocephalus-lessons-from-continuous-intracranial-pressure-monitoring-and-ventricular-infusion-testing
#39
JOURNAL ARTICLE
Per Kristian Eide
OBJECTIVE The pathophysiology of chronic noncommunicating hydrocephalus (ncHC) is poorly understood. This present study explored whether lessons about the pathophysiology of this clinical entity might be retrieved from results of overnight monitoring of pulsatile and static intracranial pressure (ICP) and ventricular infusion testing. METHODS The study cohort included adult patients (> 20 years of age) with chronic ncHC due to aqueductal stenosis in whom symptoms had lasted a minimum of 6 months. A reference cohort consisted of age- and sex-matched patients managed for communicating HC (cHC)...
July 2018: Journal of Neurosurgery
https://read.qxmd.com/read/28781856/endoscopic-third-ventriculostomy-for-hydrocephalus-in-a-patient-with-klippel-feil-syndrome-a-case-report
#40
JOURNAL ARTICLE
Tomohisa Ishida, Takashi Inoue, Miki Fujimura, Yoshiteru Shimoda, Masayuki Ezura, Hiroshi Uenohara, Teiji Tominaga
A patient with Klippel-Feil syndrome presented with hydrocephalus secondary to intraventricular hemorrhage. Fusion of the cervical vertebrae may have impeded cerebrospinal fluid flow. Change in the properties of cerebrospinal fluid flow after hemorrhage may have induced noncommunicating hydrocephalus. Endoscopic third ventriculostomy was effective for the treatment of hydrocephalus associated with Klippel-Feil syndrome.
August 2017: Clinical Case Reports
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