Endoscopic Third Ventriculostomy and Aqueductal Stenosis

A 15 years-old male patient presented with a progressive headache for the last six months, followed by diplopia and dizziness.  Two months after he developed urinary incontinence. Neurological exam revealed an  ataxic gait, horizontal nystagmus, and hyper...

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Detalles Bibliográficos
Autores: da Silva Neto, Angelo Raimundo, Medeiros, Thomas Di Nardi, Paiva, Hugo Leandro Andrade, Pereira Sobrinho, Leoberto Batista, Sales, Tulio Dias Duarte, Bezerra, Eric Cymon do Vale
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Brasil
Institución:Sociedade Brasileira de Neurocirurgia Pediátrica (SBNPed)
Repositorio:Archives of Pediatric Neurosurgery
Idioma:inglés
OAI Identifier:oai:ojs.www.archpedneurosurg.com.br:article/19
Acceso en línea:https://www.archpedneurosurg.com.br/sbnped2019/article/view/19
Access Level:acceso abierto
Palabra clave:Neuroendoscopy
Hydrocephalus
Aqueductal Stenosis
Descripción
Sumario:A 15 years-old male patient presented with a progressive headache for the last six months, followed by diplopia and dizziness.  Two months after he developed urinary incontinence. Neurological exam revealed an  ataxic gait, horizontal nystagmus, and hyperreflexia in all members. Magnetic Resonance imaging suggest obstructive hydrocephalus with third and laterals ventricles dilatation, associated with aqueductual stenosis. The patient was submitted to endoscopic third ventriculostomy, where was observed an accentuated depression on tuber cinereum and Mammillary bodies, caused by the hydrocephalus chronicity. The procedure was done without complications and results in total reversion of ataxia and urinary incontinence.