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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MDPI AG
2013-01-01
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Series: | Clinics and Practice |
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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. |
first_indexed | 2024-04-14T02:36:39Z |
format | Article |
id | doaj.art-7893c601f97b4559a73c9dd16e6828b3 |
institution | Directory Open Access Journal |
issn | 2039-7275 2039-7283 |
language | English |
last_indexed | 2024-04-14T02:36:39Z |
publishDate | 2013-01-01 |
publisher | MDPI AG |
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series | Clinics and Practice |
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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