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Child's Nervous System
Published in: Child's Nervous System 9/2016

01-09-2016 | Case Report

Spontaneous third ventriculostomy 8 years after diagnosis of obstructive hydrocephalus

Authors: Ahmet Öğrenci, Murat Şakir Ekşi, Orkun Koban

Published in: Child's Nervous System | Issue 9/2016

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Abstract

Background

Spontaneous ventriculostomy is spontaneous rupture of membranes separating the ventricular system from the subarachnoid space in patients with chronic obstructive hydrocephalus that ends with resolution of symptoms. We present a case of spontaneous third ventriculostomy occurred in a 19-year-old girl 8 years after the initial diagnosis of hydrocephalus.

Case description

An 11-year-old girl applied to the clinic with intermittent headaches. She was neurologically stable with no visual problems. On her brain MRI, obstructive hydrocephalus was observed. Cerebrospinal fluid diversion procedures were recommended, yet the family denied any interventional procedure. She had routine follow-ups with occasional clinical admissions because of ongoing intermittent headaches. On her last clinical visit, 8 years after the first one, she was in well condition with improvement in her headache in the last 4 months. Her new brain MRI showed an active CSF flow between the basal cistern and the third ventricle.

Discussion and conclusion

In patients with aqueductal stenosis and without any other mass lesion, wait and see protocol might be conveyed in case of mild symptoms of hydrocephalus. However, there is need for large-scaled studies to make a more comprehensive statement for benign obstructive hydrocephalus cases.
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Metadata
Title
Spontaneous third ventriculostomy 8 years after diagnosis of obstructive hydrocephalus
Authors
Ahmet Öğrenci
Murat Şakir Ekşi
Orkun Koban
Publication date
01-09-2016
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 9/2016
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3096-0

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