Expansion diverticulum of the suprapineal recess causing cerebellar ataxia: A case report(116 visite) Tedeschi E, Rapanà A, Elefante A, De Liso M, Morrone R, Iaccarino C
Parole chiave: Cerebellar Ataxia, Endoscopic Third Ventriculostomy, Hydrocephalus, Ventricular Diverticulum, Adult, Article, Brain Lateral Ventricle, Case Report, Diverticulosis, Female, Follow Up, Hospital Admission, Human, Neuroimaging, Neurologic Examination, Nuclear Magnetic Resonance Imaging, Cerebral Aqueduct, Follow-Up Studies,
Affiliazioni:
*** IBB - CNR *** Neuroradiology Unit, Department of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy Neurosurgical Unit, Department of Neurosurgical Sciences, S. Anna and S. Sebastiano Hospital, Caserta, Italy Morrone Diagnostic Centre, Caserta, Italy Neurosurgery-Neurotraumatology Unit, Emergency Department, University Hospital of Parma, Parma, Italy Emergency Neurosurgery Unit, Neuromotor Department, ASMN Hospital Trust, Reggio Emilia, Italy
Riferimenti:
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Stoquart-El Sankari, S., Lehmann, P., Gondry-Jouet, C., Phase-contrast MR imaging support for the diagnosis of aqueductal stenosis (2009) Am J Neuroradiol, 30, pp. 209-214
Schroeder, H.W.S., Schweim, C., Schweim, K.H., Gaab, M.R., Analysis of aqueductal cerebrospinal fluid flow after endoscopic aqueductoplasty by using cine phase-contrast magnetic resonance imaging (2000) Journal of Neurosurgery, 93 (2), pp. 237-244
Naidich, T. P., McLone, D. G., Hahn, Y. S., Hanaway, J., Atrial diverticula in severe hydrocephalus (1982) American Journal of Neuroradiology, 3 (3), pp. 257-266
Shallat, R. F., Pawl, R. P., Jerva, M. J., Significance of upward gaze palsy (Parinaud's syndrome) in hydrocephalus due to shunt malfunction (1973) J Neurosurg, 38, pp. 717-721
Buttner-Ennever, J. A., Buttner, U., Cohen, B., Baumgartner, G., Vertical gaze paralysis and the rostral interstitial nucleus of the medial longitudinal fasciculus (1982) Brain, 105 (1), pp. 125-149
Bleasel, A. F., Ell, J. J., Johnston, I., Pretectal syndrome and ventricular shunt dysfunction (1992) Neuro-Ophthalmol, 12, pp. 193-196
Schroeder, H. W. S., Schweim, C., Schweim, K. H., Gaab, M. R., Analysis of aqueductal cerebrospinal fluid flow after endoscopic aqueductoplasty by using cine phase-contrast magnetic resonance imaging (2000) Journal of Neurosurgery, 93 (2), pp. 237-244
As a result of long-standing cerebrospinal fluid (CSF) pulsation against the thinnest segments of the ventricular walls, focal enlargement of the ventricular system (diverticulum) may occur, mainly at the medial wall of the trigone of the lateral ventricles (atrial diverticula) or at the posterior wall of the third ventricle (expansion of the suprapineal recess). In the latter case, ocular signs are the most common symptoms, due to the severe deformation of the periaqueductal region. We describe a case of non-communicating hydrocephalus in a 36-year-old woman who presented a three-year history of cerebellar ataxia. Preoperative brain magnetic resonance (MR) scan showed marked supratentorial hydrocephalus with an apparently patent aqueduct of Sylvius, and an enlarged suprapineal recess causing cerebellar and tentorial dislocation. The patient was successfully treated by endoscopic third ventriculostomy and monitored by MR scans with phase-contrast sequences for assessment of CSF flow. Cerebellar ataxia is a very rare symptomatic onset for a suprapineal recess expansion diverticulum, which may cause obstructive hydrocephalus that can be effectively treated by endoscopic third ventriculostomy.
135 Records (121 escludendo Abstract e Conferenze). Impact factor totale: 347.448 (297.111 escludendo Abstract e Conferenze). Impact factor a 5 anni totale: 387.63 (331.485 escludendo Abstract e Conferenze).
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