Stereotactically-Guided Fourth Ventriculo-Peritoneal Shunting for the Isolated Fourth Ventricle

M. E. Colpan; A. Savas; N. Egemen; Y. Kanpolat

doi:10.1055/s-2003-37960

Subscribe to RSS

Please copy the URL and add it into your RSS Feed Reader.

https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000039.xml

Share / Bookmark

Facebook Linkedin Weibo

Download PDF

Minim Invasive Neurosurg 2003; 46(1): 57-60
DOI: 10.1055/s-2003-37960

Technical Note

Stereotactically-Guided Fourth Ventriculo-Peritoneal Shunting for the Isolated Fourth Ventricle

M. E. Colpan¹ , A. Savas¹ , N. Egemen¹ , Y. Kanpolat¹

¹Department of Neurosurgery, Ankara University, School of Medicine, Ankara, Turkey

Further Information

Publication History

Publication Date:
17 March 2003 (online)

Abstract
Full Text
References

Buy Article Permissions and Reprints

Zusammenfassung

Abstract

The isolated fourth ventricle (IFV) develops in which obstruction to the out flow of cerebrospinal fluid from the choroid plexus of the fourth ventricle occurs rostrally and caudally. IFV has been a rare occurrence and is difficult to treat. We had an occasion to admit a 28-year-old female to our hospital due to hydrocephalus: she also had a history of meningitis a year ago. The patient was initially managed by a lateral ventriculo-peritoneal shunting procedure. Six months after the procedure the patient began to suffer from vomiting, nausea, and diplopia. CT and MRI scans demonstrated an isolated fourth ventricle enlargement; and thus, a fourth ventriculo-peritoneal shunting procedure was performed under stereotactic conditions. The authors present a case of an isolated fourth ventricle after lateral ventriculo-peritoneal shunting for hydrocephalus, which was treated with a stereotactically guided fourth ventriculo-peritoneal shunting procedure. The technique of this procedure is described below.

Key words

Isolated Fourth Ventricle - Hydrocephalus - Stereotactic Technique - Ventriculo-Peritoneal Shunt

References

1 Kojima N, Tamaki N, Matsumoto S. [Clinical evaluation of an isolated fourth ventricle]. No To Shinkei. 1988; 40(7) 679-687

PubMed Search in Google Scholar
2 James H E. Spectrum of the syndrome of the isolated fourth ventricle in posthemorrhagic hydrocephalus of the premature infant. Pediatr Neurosurg. 1990; 16(6) 305-308

PubMed Search in Google Scholar
3 Hubbard J L, Houser O W, Laws Jr E R. Trapped fourth ventricle in an adult: radiographic findings and surgical treatment. Surg Neurol. 1987; 28(4) 301-306

PubMed Search in Google Scholar
4 Hawkins J CD, Hoffman H J, Humphreys R P. Isolated fourth ventricle as a complication of ventricular shunting. Report of three cases. J Neurosurg. 1978; 49(6) 910-913

PubMed Search in Google Scholar
5 Coker S B, Anderson C L. Occluded fourth ventricle after multiple shunt revisions for hydrocephalus. Pediatrics. 1989; 83(6) 981-985

PubMed Search in Google Scholar
6 Lee M. et al . Complications of fourth-ventricular shunts. Pediatr Neurosurg. 1995; 22(6) 309-313

PubMed Search in Google Scholar
7 Hirano T. et al . [A rare case of trapped fourth ventricle: an unique symptom appeared after fourth ventriculo-peritoneal shunting]. No To Shinkei. 1999; 51(3) 247-251

PubMed Search in Google Scholar
8 Da Silva J A. et al . [Isolated fourth ventricle: report of 2 cases]. Arq Neuropsiquiatr. 1998; 56(3B) 621-628

PubMed Search in Google Scholar
9 Aoki N. Communicating fourth ventricular hydrocephalus: case report. Neurosurgery. 1987; 20(5) 806-808

PubMed Search in Google Scholar
10 Foltz E L. D.D.R., Double Compartment Hydrocephalus - a new clinical entity. Neurosurgery. 1980; 7 551-559

PubMed Search in Google Scholar
11 Montgomery C T, Winfield J A. Fourth ventricular entrapment caused by rostrocaudal herniation following shunt malfunction. Pediatr Neurosurg. 1993; 19(4) 209-214

PubMed Search in Google Scholar
12 Foltz E L. S.D., Conversion of communication hydrocephalus to stenosis or occlusion of the aqueduct during ventricular shunt. J Neurosurg. 1966; 24 520-529

PubMed Search in Google Scholar
13 Zimmerman R A, Bilaniuk L T, Gallo E. Computed tomography of the trapped fourth ventricle. AJR Am J Roentgenol. 1978; 130(3) 503-506

PubMed Search in Google Scholar
14 Scotti G. et al . The isolated fourth ventricle in children: CT and clinical review of 16 cases. AJR Am Roentgenol. 1980; 135(6) 1233-1238

PubMed Search in Google Scholar
15 Shose Y, Nogaki H, Kamikawa S. [Disproportionately large, communicating fourth ventricle. Case report]. Neurol Med Chir (Tokyo). 1991; 31(13) 1003-1007

PubMed Search in Google Scholar
16 Matsumoto M. et al . [Disproportionately large communicating fourth ventricle - report of 2 cases]. No Shinkei Geka. 1983; 11(11) 1185-1190

PubMed Search in Google Scholar
17 Hida K, Iwasaki Y, Abe H. [Cystic dilatation of the fourth ventricle - case report]. No To Shinkei. 1991; 43(12) 1169-1173

PubMed Search in Google Scholar
18 Teo C, Burson T, Misra S. Endoscopic treatment of the trapped fourth ventricle [In Process Citation]. Neurosurgery. 1999; 44(6) 1257-1261; discussion 1261 - 1262

PubMed Search in Google Scholar
19 Yeo T T. et al . CT-directed BRW stereotactic neurosurgery: local experience with 42 cases. Singapore Med J. 1991; 32(5) 307-311

PubMed Search in Google Scholar
20 Asai A. et al . Dandy-Walker syndrome: experience at the Hospital for Sick Children, Toronto. Pediatr Neurosci. 1989; 15(2) 66-73

Crossref PubMed Search in Google Scholar
21 Toriyama T. et al . [A case of disproportionately large communicating fourth ventricle (DLCFV) combined with syringomyelia and Chiari malformation]. No Shinkei Geka. 1991; 19(2) 167-172

PubMed Search in Google Scholar
22 Okabe S. et al . [Disproportionately large communicating fourth ventricle with bilateral exotropia: report of two cases]. No Shinkei Geka. 1990; 18(10) 969-973

PubMed Search in Google Scholar
23 Hall T R. et al . Isolation of the fourth ventricle causing transtentorial herniation: neurosonographic findings in premature infants. AJR Am J Roentgenol. 1992; 159(4) 811-815

PubMed Search in Google Scholar
24 Teo C RS, Boop F A, Cherny B. Complication of endoscopic neurosurgery. Childs Nerv Syst. 1996; 12 248-253

PubMed Search in Google Scholar
25 Caemaert J AJ. Diagnostic and therapeutic stereotactic cerebral endoscopy. Acta Neurochir (Wien). 1993; 124 11-13

Crossref PubMed Search in Google Scholar
26 Kalbarczyk A KJ, Seiler R W. Endoscopic stereotactic surgery for intraventricular loculated empyema: case report. Surg Neurol. 1999; 52 412-417

PubMed Search in Google Scholar
27 Montes J LCD, Farmer J-P. Stereotactic transtentorial hiatus ventriculoperitonela shunting for sequestered fourth ventricle: Technical note. J Neurosurg. 1994; 80 759-761

PubMed Search in Google Scholar

Dr. A. Savas

PK 243 Kavaklidere

06693 Ankara

Turkey

Phone: +90-312-4918839 ·

Fax: +90-312-3094340

Email: alisavas63@yahoo.com