Hydrocephalus in mucopolysaccharidosis Type VI successfully treated with endoscopic third ventriculostomy

Mucopolysaccharidosis (MPS) Type VI, or Maroteaux-Lamy syndrome, is characterized by a deficiency of the enzyme arylsulfatase B (ASB). In patients with this disorder, craniocervical compression, carpal tunnel syndrome, and communicating hydrocephalus are common. Traditionally, hydrocephalus occurrin...

Full description

Bibliographic Details
Authors: Silva Neto, Ângelo Raimundo da, Holanda, Gervina Brady Moreira, Farias, Maria Cláudia Saldanha, Costa, Gladstone Santos da, Pereira, Hougelle Simplício Gomes
Format: article
Status:Published version
Publication Date:2013
Country:Brasil
Institution:Universidade Federal do Rio Grande do Norte (UFRN)
Repository:Repositório Institucional da UFRN
Language:Portuguese
OAI Identifier:oai:repositorio.ufrn.br:123456789/52354
Online Access:https://repositorio.ufrn.br/handle/123456789/52354
Access Level:Open access
Keyword:maroteaux-Lamy syndrome
hydrocephalus
neuroendoscopy
Description
Summary:Mucopolysaccharidosis (MPS) Type VI, or Maroteaux-Lamy syndrome, is characterized by a deficiency of the enzyme arylsulfatase B (ASB). In patients with this disorder, craniocervical compression, carpal tunnel syndrome, and communicating hydrocephalus are common. Traditionally, hydrocephalus occurring in patients with MPS VI has been treated with shunt placements. Considering obstruction of the outlets from the fourth ventricle at the craniocervical transition, the authors decided to treat a female patient with MPS VI via endoscopic third ventriculostomy. She was 12 years old and had refractory headaches. This seems to be the first reported instance of the neuroendoscopic treatment of hydrocephalus in a patient with MPS VI. The pathophysiology is briefly discussed.