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Child's Nervous System
Published in: Child's Nervous System 9/2009

01-09-2009 | Case Report

Early surgical management of antenatal diagnosed cystic lesions of the foramen of Monro causing monoventricular hydrocephalus

Authors: Sébastien Freppel, Jean-Claude Marchal, Anthony Joud, Catherine Pinelli, Olivier Klein

Published in: Child's Nervous System | Issue 9/2009

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Abstract

Introduction

After diagnosis of an antenatal monoventricular hydrocephalus caused by a cystic lesion of the foramen of Monro, treatment modality and time frame may be difficult to assess. Previously, this type of hydrocephalus was often treated with internal shunting. The advent of neuroendoscopy has changed the surgical management of this pathology.

Materials and methods

We report on two cases of cystic lesions of the foramen of Monro discovered on antenatal ultrasonography. A cavum veli interpositi in one case and a choroid plexus cyst in the other were responsible for unilateral hydrocephalus. In both cases, endoscopic treatment before 1 month of age was performed as the primary procedure with a successful outcome.

Conclusions

We advise early endoscopic treatment for newborns presenting with progressive unilateral hydrocephalus caused by a cystic lesion of the foramen of Monro. It has been, in our hands, a safe and efficient procedure.
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Metadata
Title
Early surgical management of antenatal diagnosed cystic lesions of the foramen of Monro causing monoventricular hydrocephalus
Authors
Sébastien Freppel
Jean-Claude Marchal
Anthony Joud
Catherine Pinelli
Olivier Klein
Publication date
01-09-2009
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 9/2009
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-009-0890-y

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