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Journal of Korean Neurosurgical Society 2006;39(4): 292-295. |
| Endoscopic Aqueductoplasty and Stenting for Isolated Fourth Ventricle. |
| Won Ho Cho, Sang Weon Lee, Seung Heon Cha |
| Department of Neurosurgery, Pusan National University School of Medicine, Busan, Korea. md@medimail.co.kr |
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| ABSTRACT |
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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. |
| Key Words:
Isolated fourth ventricle; Hydrocephalus; Neuroendoscopic surgery; Aqueductal stenosis |
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