Syringomyelia regression after shunting of a trapped fourth ventricle.

Szczegóły
Abstrakt

Tytuł:: Syringomyelia regression after shunting of a trapped fourth ventricle.
Autorzy:: Morina D; Department of Neurosurgery, Wedau Kliniken Duisburg , Germany.
Petridis AK; Department of Neurosurgery, Wedau Kliniken Duisburg , Germany.
Fritzsche FS; Department of Neurosurgery, Wedau Kliniken Duisburg , Germany.
Ntoulias G; Department of Neurosurgery, Wedau Kliniken Duisburg , Germany.
Scholz M; Department of Neurosurgery, Wedau Kliniken Duisburg , Germany.
Źródło:: Clinics and practice [Clin Pract] 2013 Jan 30; Vol. 3 (1), pp. e1. Date of Electronic Publication: 2013 Jan 30 (Print Publication: 2013).
Typ publikacji:: Case Reports
Język:: English
Imprint Name(s):: Publication: 2021- : Basel, Switzerland : MDPI
Original Publication: Pavia : PAGEPress
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Contributed Indexing:: Keywords: syringomyelia; trapped fourth ventricle
Entry Date(s):: Date Created: 20140426 Date Completed: 20140425 Latest Revision: 20211021
Update Code:: 20240104
PubMed Central ID:: PMC3981231
DOI:: 10.4081/cp.2013.e1
PMID:: 24765489
: Raport

Pełny tekst

We describe a case of progressive syringomyelia following post-infectious trapped fourth ventricle (TFV), which resolved after shunting of the fourth ventricle. A 28-year-old female who had previously undergone treatment of intracerebral hemorrhage and meningitis developed a hydrocephalus with TFV. After 3 years she developed disturbance of walking and coordination. Cranial-CT revealed an enlargement of the shunted fourth ventricle as a result of shunt dysfunction. Furthermore a cervical syringomyelia developed. The patient underwent a revision of a failed fourth ventriculo-peritoneal shunt. Postoperatively, syringomyelia resolved within 6 months and the associated neurological deficits improved significantly. An insufficiency of cerebrospinal fluid draining among patients with TFV can be associated with communicating syringomyelia. An early detection and treatment seems important on resolving syringomyelia and avoiding permanent neurological deficits. Ventriculo-peritoneal shunt in trapped fourth ventricles can resolve a secondary syringomyelia.

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