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Child's Nervous System

Published in:

01-10-2004 | Review Paper

Management strategies for treatment of the trapped fourth ventricle

Author: David H. Harter

Published in: Child's Nervous System | Issue 10/2004

Abstract

Background

An isolated or trapped fourth ventricle (TFV) is an occasional, serious sequela of hemorrhagic, infectious, or inflammatory conditions of the central nervous system. The TFV usually occurs after successful shunting of the lateral ventricles. It may be heralded by delayed clinical deterioration after an initial period of symptomatic improvement. The typical clinical findings suggest an expanding posterior fossa mass lesion. Surgical treatments include CSF diversionary procedures as well as open and endoscopic approaches. Complications related to the treatment of the TFV are common and relate to catheter obstruction and cranial nerve or brainstem dysfunction.

Methods

The author reviews the clinical features, pathophysiology, and available treatment options for the TFV, with special reference to complication avoidance and advances in ventriculoscopy and frameless stereotaxy.

Conclusions

Treatment of the TFV remains a formidable challenge. However, prompt recognition and intervention may aid in the preservation of life and neurological function.

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Title: Management strategies for treatment of the trapped fourth ventricle
Author: David H. Harter
Publication date: 01-10-2004
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 10/2004
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-004-1004-5

2024 ASCO Annual Meeting

Springer Medicine

Management strategies for treatment of the trapped fourth ventricle

Abstract

Background

Methods

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Conclusions

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