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Child's Nervous System
Published in: Child's Nervous System 2/2018

01-02-2018 | Case Report

Brainstem herniation into the internal acoustic canal secondary to hydrocephalus in context of spontaneous cerebrospinal fluid otorrhea: report of a novel entity

Authors: Cristian Gragnaniello, John S. Myseros, Reza Taheri, Ashkan Monfared

Published in: Child's Nervous System | Issue 2/2018

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Abstract

Introduction and clinical presentation

The authors report a case of a 5-year-old boy presenting with vision loss, right-sided hearing loss, and facial paralysis secondary to hydrocephalus causing brainstem herniation into the internal auditory canal (IAC) following cerebrospinal fluid (CSF) otorrhea.

Management and outcome

After placement of a ventriculo-peritoneal shunt (VP shunt), the vision and facial palsy improved whilst hearing loss persisted. Imaging demonstrated partial reduction of the herniated brainstem and resolution of hydrocephalus. To our knowledge, this is the first case reported of brainstem herniation into the internal auditory canal.
Literature
1.
Ayberk G, Ozveren MF, Yildirim T, Ercan K, Cay EK, Kocak A (2008) Review of a series with abducens nerve palsy. Turk Neurosurg 18(4):366–373PubMed
2.
Giesemann AM (2012) Bilateral trochlear nerve palsy subsequent to ventriculoperitoneal shunting of normal pressure hydrocephalus. Br J Neurosurg 26(1):110–112CrossRef
3.
Katzir M, Attia M, Sviri GE, Zaaroor M (2015) Uncal herniation in a fully conscious patient—the sliding uncus syndrome. Br J Neurosurg 29(2):308–309CrossRef
4.
Mong S, Goldberg AN, Lusting LR (2009) Fallopian canal meningocele: report of two cases. Otol Neurotol 30(4):525–528CrossRef
5.
Montgomery CT, Winfield JA (1993) Fourth ventricular entrapment caused by rostrocaudal herniation following shunt malfuntion. Pediatric Neurosurgery 19(4):209–214CrossRef
6.
Pandey PK (2008) Acquired isolated unilateral fourth nerve palsy after ventriculoperitoneal shunt surgery. J AAPOS 12(6):618–620CrossRef
7.
Russel SM, Hoffman R, Jafar JJ (2001) Improvement of chronic hearing loss after shunt revision. Surg Neurol 56(3):185–188CrossRef
8.
Schlosser RH, Woodworth BA, Wilensky EM et al (2006) Spontaneous cerebrospinal fluid leaks: a variant of benign intracranial hypertension. Ann Otol Rhinol Laryngol 115:495–500CrossRef
9.
Skau M, Brennum J, Gjerris F, Jensen R (2006) What is new about idiopathic intracranial hypertension? An updated review of mechanism and treatment. Cephalalgia 26:384–399CrossRef
10.
Thines L, Vinchon M, Lahlou A, Pellerin P, Dhellemmes P (2007) Facial diplegia revealing ventriculoperitoneal shunt failure in a patient with Crouzon syndrome. J Neurosurg (1Suppl Pediatrics) 107:46–48CrossRef
11.
Thomkinson AM, Mills RGS, Cantrall PJ (1997) The pathophysiology of otitic hydrocephalus. J Laryng Otol 111(8):757–759CrossRef
Metadata
Title
Brainstem herniation into the internal acoustic canal secondary to hydrocephalus in context of spontaneous cerebrospinal fluid otorrhea: report of a novel entity
Authors
Cristian Gragnaniello
John S. Myseros
Reza Taheri
Ashkan Monfared
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 2/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3593-9

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