Skip to main content
SpringerLink
Log in

Endoscopic ventriculo-cisterno-ventricular approach in the treatment of bilateral trapped temporal horn related to fungal infection in a child: case report and review of the literature

  • Case Report
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Introduction

Focal hydrocephalus including trapped temporal horn (TTH), isolated lateral and fourth ventricles, is caused by obstruction and/or adhesion related to various etiologies. With the advent of the neuroendoscope, endoscopic procedures have become an alternative in selected cases.

Case report

A 2-year-old male from a rural town in México was referred to our institution because of multiple supra- and infra-tentorial abscesses and hydrocephalus. The patient had progressive deterioration and developed bilateral trapped temporal horn related to multi-septated hydrocephalus, so we performed an endoscopic ventricular-cistern-ventriculostomy through a single right temporal burr hole.

Postoperative course

Bilateral TTH and multi-septated hydrocephalus were effectively treated with a single external ventricular drainage (EVD) catheter, from the right temporal horn to the left temporal horn through the interpeduncular cistern; after clamping the EVD for 3 days with no evidence of hydrocephalus, the EVD was removed. The size of the ventricles remained stable afterwards, and no clinical or radiological evidence of hydrocephalus was observed after 3 months of follow-up.

Discussion

Endoscopic ventriculocisternostomy is effective in selected cases of TTH. We know that dilatation of the temporal horn widens the window between the anterior choroidal artery and optic tract superiorly, and the posterior communicating and CN III inferiorly, making the described procedure feasible, even in the approach to the contralateral side. Even though this is a rare condition, we believe it is a safe and effective option to eliminate multiple shunts and/or to reduce the number of catheters needed to treat bilateral THH related to multi-septated hydrocephalus.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Maurice-Williams RS, Choksey M (1986) Entrapment of the temporal horn: a form of focal obstructive hydrocephalus. J Neurol Neurosurg Psychiatry 49:238–242

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  2. Aldana PR, Kestle JR, Brockmeyer DL, Walker ML (2003) Results of endoscopic septal fenestration in the treatment of isolated ventricular hydrocephalus. Pediatr Neurosurg 38:286–294

    Article  PubMed  Google Scholar 

  3. Tripathy SR, Mishra SS, Deo RC, Mohanta I, Tripathy K (2015) Aqueductal stenosis has a new dimension—aspergillosis: a rare case report and review of the literature. World Neurosurg 84(1494):e1413–e1496

    Google Scholar 

  4. Parrent AG (2000) Endoscopically guided fenestration of the choroidal fissure for treatment of trapped temporal horn. J Neurosurg 93:891–894

    Article  PubMed  CAS  Google Scholar 

  5. Abderrahmen K, Gdoura Y, Kallel J, Jemel H (2016) Trapped temporal horn, an unusual form of obstructive hydrocephalus: 5 case-reports. Neuro-Chirurgie 62:108–112

    Article  PubMed  CAS  Google Scholar 

  6. Paredes I, Orduna J, Fustero D, Salgado JA, de Diego JM, de Mesa FG (2017) Endoscopic temporal ventriculocisternostomy for the management of temporal horn entrapment: report of 4 cases. J Neurosurg 126:298–303

    Article  PubMed  Google Scholar 

  7. Krahenbuhl AK, Baldauf J, Gaab MR, Schroeder HW (2013) Endoscopic temporal ventriculocisternostomy: an option for the treatment of trapped temporal horns. J Neurosurg Pediatr 11:568–574

    Article  PubMed  Google Scholar 

  8. Sharma C, Acharya M, Kumawat BL, Kochar A (2014) ‘Trapped temporal horn’ of lateral ventricle in tuberculous meningitis. BMJ Case Rep 2014

  9. Singh SK, Srivastava C, Ojha BK, Chandra A, Parihar A, Husain N (2010) An unusual cause of entrapment of temporal horn: neurocysticercosis. Neurol India 58:814–815

    Article  PubMed  Google Scholar 

  10. Gliemroth J, Kasbeck E, Kehler U (2014) Ventriculocisternostomy versus ventriculoperitoneal shunt in the treatment of hydrocephalus: a retrospective, long-term observational study. Clin Neurol Neurosurg 122:92–96

    Article  PubMed  Google Scholar 

  11. Teo C, Kadrian D, Hayhurst C (2013) Endoscopic management of complex hydrocephalus. World Neurosurg 79(S21):e21–e27

    Google Scholar 

  12. Hana T, Tanaka S, Shin M, Mukasa A, Kugasawa K, Saito N (2015) Neuroendoscopic ventriculocisternostomy with stent placement for trapped temporal horn after the resection of glioblastoma. World Neurosurg 84(2078):e2075–e2078

  13. Chen CC, Kasper EM, Zinn PO, Warnke PC (2013) Management of entrapped temporal horn by temporal horn to prepontine cistern shunting. World Neurosurg 79(404):e407–e410

    Google Scholar 

  14. Hervey-Jumper SL, Ziewacz JE, Heth JA, Sullivan SE (2010) Frontal-to-temporal horn shunt as treatment for temporal horn entrapment. J Neurosurg 112:410–413

    Article  PubMed  Google Scholar 

  15. Patterson TF, Thompson GR 3rd, Denning DW, Fishman JA, Hadley S, Herbrecht R, Kontoyiannis DP, Marr KA, Morrison VA, Nguyen MH, Segal BH, Steinbach WJ, Stevens DA, Walsh TJ, Wingard JR, Young JA, Bennett JE (2016) Practice guidelines for the diagnosis and management of aspergillosis: 2016 update by the Infectious Diseases Society of America. Clin Infect Dis 63:e1–e60

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Hospital Infantil de México Federico Gómez, National Institute of Health, Dr. Márquez 162, Cuauhtémoc, 06720, Ciudad de México, CDMX, Mexico

    José Ascención Arenas-Ruiz, Horus Martinez-Maldonado, Vicente Gonzalez-Carranza, Samuel Torres-García & Fernando Chico-Ponce de Leon

Authors
  1. José Ascención Arenas-Ruiz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Horus Martinez-Maldonado
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vicente Gonzalez-Carranza
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Samuel Torres-García
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Fernando Chico-Ponce de Leon
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Fernando Chico-Ponce de Leon.

Ethics declarations

Conflict of interest

The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Arenas-Ruiz, J.A., Martinez-Maldonado, H., Gonzalez-Carranza, V. et al. Endoscopic ventriculo-cisterno-ventricular approach in the treatment of bilateral trapped temporal horn related to fungal infection in a child: case report and review of the literature. Childs Nerv Syst 34, 1593–1597 (2018). https://doi.org/10.1007/s00381-018-3776-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-018-3776-z

Keywords

Search

Navigation