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Case of spontaneous ventriculocisternostomy

Abstract

The authors experienced a case of spontaneous ventriculocisternostomy diagnosed by CT scan with metrizamide and Conray. Patient was 23-year-old male who had been in good health until one month before admission, when he began to have headache and tinnitus. He noticed bilateral visual acuity was decreased about one week before admission and vomiting appeared two days before admission. He was admitted to our hospital because of bilateral papilledema and remarkable hydrocephalus diagnosed by CT scan. On admission, no abnormal neurological signs except for bilateral papilledema were noted. Immediately, right ventricular drainage was performed. Pressure of the ventricle was over 300mmH/sub 2/O and CSF was clear. PVG and PEG disclosed an another cavity behind the third ventricle, which was communicated with the third ventricle, and occlusion of aqueduct of Sylvius. Metrizamide CT scan and Conray CT scan showed a communication between this cavity and quadrigeminal and supracerebellar cisterns. On these neuroradiological findings, the diagnosis of obstructive hydrocephalus due to benign aqueduct stenosis accompanied with spontaneous ventriculocisternostomy was obtained. Spontaneous ventriculocisternostomy was noticed to produce arrest of hydrocephalus, but with our case, spontaneous regression of such symptoms did not appeared. By surgical ventriculocisternostomy (method by Torkildsen, Dandy, or Scarff), arrest of hydrocephalus  More>>
Authors:
Yamane, Kanji; Yoshimoto, Hisanori; Harada, Kiyoshi; Uozumi, Tohru; [1]  Kuwabara, Satoshi
  1. Hiroshima Univ. (Japan). School of Medicine
Publication Date:
May 01, 1983
Product Type:
Journal Article
Reference Number:
AIX-15-052697; EDB-84-150905
Resource Relation:
Journal Name: Neurol. Surg. (Tokyo); (Japan); Journal Volume: 11:5
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BRAIN; CAT SCANNING; BIOMEDICAL RADIOGRAPHY; CONTRAST MEDIA; DIAGNOSIS; IMAGES; NERVOUS SYSTEM DISEASES; PATIENTS; SURGERY; BODY; CENTRAL NERVOUS SYSTEM; COMPUTERIZED TOMOGRAPHY; DIAGNOSTIC TECHNIQUES; DISEASES; MEDICINE; NERVOUS SYSTEM; NUCLEAR MEDICINE; ORGANS; RADIOLOGY; TOMOGRAPHY; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
6602794
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: CODEN: NOKGB
Submitting Site:
HEDB
Size:
Pages: 491-497
Announcement Date:
Aug 01, 1984

Citation Formats

Yamane, Kanji, Yoshimoto, Hisanori, Harada, Kiyoshi, Uozumi, Tohru, and Kuwabara, Satoshi. Case of spontaneous ventriculocisternostomy. Japan: N. p., 1983. Web.
Yamane, Kanji, Yoshimoto, Hisanori, Harada, Kiyoshi, Uozumi, Tohru, & Kuwabara, Satoshi. Case of spontaneous ventriculocisternostomy. Japan.
Yamane, Kanji, Yoshimoto, Hisanori, Harada, Kiyoshi, Uozumi, Tohru, and Kuwabara, Satoshi. 1983. "Case of spontaneous ventriculocisternostomy." Japan.
@misc{etde_6602794,
title = {Case of spontaneous ventriculocisternostomy}
author = {Yamane, Kanji, Yoshimoto, Hisanori, Harada, Kiyoshi, Uozumi, Tohru, and Kuwabara, Satoshi}
abstractNote = {The authors experienced a case of spontaneous ventriculocisternostomy diagnosed by CT scan with metrizamide and Conray. Patient was 23-year-old male who had been in good health until one month before admission, when he began to have headache and tinnitus. He noticed bilateral visual acuity was decreased about one week before admission and vomiting appeared two days before admission. He was admitted to our hospital because of bilateral papilledema and remarkable hydrocephalus diagnosed by CT scan. On admission, no abnormal neurological signs except for bilateral papilledema were noted. Immediately, right ventricular drainage was performed. Pressure of the ventricle was over 300mmH/sub 2/O and CSF was clear. PVG and PEG disclosed an another cavity behind the third ventricle, which was communicated with the third ventricle, and occlusion of aqueduct of Sylvius. Metrizamide CT scan and Conray CT scan showed a communication between this cavity and quadrigeminal and supracerebellar cisterns. On these neuroradiological findings, the diagnosis of obstructive hydrocephalus due to benign aqueduct stenosis accompanied with spontaneous ventriculocisternostomy was obtained. Spontaneous ventriculocisternostomy was noticed to produce arrest of hydrocephalus, but with our case, spontaneous regression of such symptoms did not appeared. By surgical ventriculocisternostomy (method by Torkildsen, Dandy, or Scarff), arrest of hydrocephalus was seen in about 50 to 70 per cent, which was the same results as those of spontaneous ventriculocisternostomy. It is concluded that VP shunt or VA shunt is thought to be better treatment of obstructive hydrocephalus than the various kinds of surgical ventriculocisternostomy.}
journal = []
volume = {11:5}
journal type = {AC}
place = {Japan}
year = {1983}
month = {May}
}