Syringomyelia regression after shunting of a trapped fourth ventricle

We describe a case of progressive syringomyelia following post-infectious trapped fourth ventricle (TFV), which resolved after shunting of the fourth ventricle. A 28-year-old female who had previously undergone treatment of intracerebral hemorrhage and meningitis developed a hydrocephalus with TFV....

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Main Authors: Dukagjin Morina, Athanasios K. Petridis, Friedericke S. Fritzsche, Georgios Ntoulias, Martin Scholz
Format: Article
Language:English
Published: MDPI AG 2013-01-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.clinicsandpractice.org/index.php/cp/article/view/547
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author Dukagjin Morina
Athanasios K. Petridis
Friedericke S. Fritzsche
Georgios Ntoulias
Martin Scholz
author_facet Dukagjin Morina
Athanasios K. Petridis
Friedericke S. Fritzsche
Georgios Ntoulias
Martin Scholz
author_sort Dukagjin Morina
collection DOAJ
description We describe a case of progressive syringomyelia following post-infectious trapped fourth ventricle (TFV), which resolved after shunting of the fourth ventricle. A 28-year-old female who had previously undergone treatment of intracerebral hemorrhage and meningitis developed a hydrocephalus with TFV. After 3 years she developed disturbance of walking and coordination. Cranial-CT revealed an enlargement of the shunted fourth ventricle as a result of shunt dysfunction. Furthermore a cervical syringomyelia developed. The patient underwent a revision of a failed fourth ventriculo- peritoneal shunt. Postoperatively, syringomyelia resolved within 6 months and the associated neurological deficits improved significantly. An insufficiency of cerebrospinal fluid draining among patients with TFV can be associated with communicating syringomyelia. An early detection and treatment seems important on resolving syringomyelia and avoiding permanent neurological deficits. Ventriculo-peritoneal shunt in trapped fourth ventricles can resolve a secondary syringomyelia.
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spelling doaj.art-7893c601f97b4559a73c9dd16e6828b32022-12-22T02:17:22ZengMDPI AGClinics and Practice2039-72752039-72832013-01-013110.4081/cp.2013.e1230Syringomyelia regression after shunting of a trapped fourth ventricleDukagjin Morina0Athanasios K. Petridis1Friedericke S. Fritzsche2Georgios Ntoulias3Martin Scholz4Department of Neurosurgery, Wedau Kliniken DuisburgDepartment of Neurosurgery, Wedau Kliniken DuisburgDepartment of Neurosurgery, Wedau Kliniken DuisburgDepartment of Neurosurgery, Wedau Kliniken DuisburgDepartment of Neurosurgery, Wedau Kliniken DuisburgWe describe a case of progressive syringomyelia following post-infectious trapped fourth ventricle (TFV), which resolved after shunting of the fourth ventricle. A 28-year-old female who had previously undergone treatment of intracerebral hemorrhage and meningitis developed a hydrocephalus with TFV. After 3 years she developed disturbance of walking and coordination. Cranial-CT revealed an enlargement of the shunted fourth ventricle as a result of shunt dysfunction. Furthermore a cervical syringomyelia developed. The patient underwent a revision of a failed fourth ventriculo- peritoneal shunt. Postoperatively, syringomyelia resolved within 6 months and the associated neurological deficits improved significantly. An insufficiency of cerebrospinal fluid draining among patients with TFV can be associated with communicating syringomyelia. An early detection and treatment seems important on resolving syringomyelia and avoiding permanent neurological deficits. Ventriculo-peritoneal shunt in trapped fourth ventricles can resolve a secondary syringomyelia.https://www.clinicsandpractice.org/index.php/cp/article/view/547trapped fourth ventriclesyringomyelia.
spellingShingle Dukagjin Morina
Athanasios K. Petridis
Friedericke S. Fritzsche
Georgios Ntoulias
Martin Scholz
Syringomyelia regression after shunting of a trapped fourth ventricle
Clinics and Practice
trapped fourth ventricle
syringomyelia.
title Syringomyelia regression after shunting of a trapped fourth ventricle
title_full Syringomyelia regression after shunting of a trapped fourth ventricle
title_fullStr Syringomyelia regression after shunting of a trapped fourth ventricle
title_full_unstemmed Syringomyelia regression after shunting of a trapped fourth ventricle
title_short Syringomyelia regression after shunting of a trapped fourth ventricle
title_sort syringomyelia regression after shunting of a trapped fourth ventricle
topic trapped fourth ventricle
syringomyelia.
url https://www.clinicsandpractice.org/index.php/cp/article/view/547
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