Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Endoscopic Aqueductoplasty and Stenting for Isolated Fourth Ventricle

  • Cho, Won-Ho (Department of Neurosurgery, Pusan National University School of Medicine) ;
  • Lee, Sang-Weon (Department of Neurosurgery, Pusan National University School of Medicine) ;
  • Cha, Seung-Heon (Department of Neurosurgery, Pusan National University School of Medicine)
  • Published : 2006.04.30
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Abstract

Isolated fourth ventricle[IFV] is a rare entity producing symptoms of a progressive posterior fossa mass lesion. It is mainly reported in a patient who undergo shunt placement as its late complication. However, its surgical management has been difficult and its optional treatment remains controversial. We had an occasion to admit 19-year-old female to our hospital due to hydrocephalus : she had a history of meningitis when she was 2 years old. Ten years later she was diagnosed as hydrocephalus and managed by lateral ventriculo-peritoneal shunting procedure. Seven years after the procedure, the patient presented with headache, nausea, truncal ataxia and nystagmus. Computed tomography and magnetic resonance image scan demonstrated markedly enlarged fourth ventricle : and thus, neuroendoscopic aqueductoplasty and aqueductal stent insertion was performed. The authors present a case of an IFV after lateral ventriculo-peritoneal shunting for hydrocephalus, which was treated successfully with a neuroendoscopic surgery. The technique of this procedure is described below.

Keywords

References

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