1.
J Neurosurg
; 101(3): 518-20, 2004 Sep.
Article
in English
| MEDLINE
| ID: mdl-15352611
ABSTRACT
This 30-year-old woman presented with clinical symptoms and signs of intracranial hypertension and Parinaud syndrome secondary to ventriculoperitoneal shunt dysfunction. Magnetic resonance (MR) imaging revealed gross triventricular hydrocephalus with a large suprapineal recess due to aqueductal stenosis. Using an endoscopic approach, a ventriculostomy was performed within the floor of the dilated suprapineal recess. Following this procedure the patient experienced alleviation of all her neurological symptoms and signs. Postoperative MR imaging and cerebrospinal fluid flow studies demonstrated a functioning ventriculostomy. The anatomy of the suprapineal recess and its suitability for endoscopic ventriculostomy are discussed.
Subject(s)
Cerebral Aqueduct/surgery , Endoscopy , Hydrocephalus/surgery , Image Processing, Computer-Assisted , Intracranial Hypertension/surgery , Magnetic Resonance Imaging , Pineal Gland/surgery , Postoperative Complications/surgery , Third Ventricle/surgery , Tomography, X-Ray Computed , Ventriculoperitoneal Shunt , Ventriculostomy/methods , Adult , Cerebral Aqueduct/pathology , Constriction, Pathologic/diagnosis , Constriction, Pathologic/surgery , Equipment Failure , Female , Humans , Hydrocephalus/diagnosis , Intracranial Hypertension/diagnosis , Mammillary Bodies/pathology , Mammillary Bodies/surgery , Microsurgery , Pineal Gland/pathology , Pituitary Gland, Posterior/pathology , Pituitary Gland, Posterior/surgery , Postoperative Complications/diagnosis , Reoperation , Third Ventricle/pathology
2.
J Clin Neurosci
; 11(3): 347; author reply 348, 2004 Apr.
Article
in English
| MEDLINE
| ID: mdl-14975440