Article (Scientific journals)
Mesencephalic and third ventricle cysts: diagnosis and management in four cases.
RAMAEKERS, Vincent; Reul, J.; Siller, V. et al.
1994In Journal of Neurology, Neurosurgery and Psychiatry, 57 (10), p. 1216-20
Peer Reviewed verified by ORBi
 

Files


Full Text
Mesencephalic and third ventricle cysts, diagnosis and management in four cases..pdf
Publisher postprint (2.6 MB)
Request a copy

All documents in ORBi are protected by a user license.

Send to



Details



Keywords :
Brain Diseases/complications/diagnosis/surgery; Cerebral Ventricles/pathology; Cerebral Ventriculography; Cysts/complications/diagnosis/surgery; Female; Humans; Hydrocephalus/etiology; Infant, Newborn; Magnetic Resonance Imaging; Male; Mesencephalon/pathology/radiography; Tomography, X-Ray Computed
Abstract :
[en] Four infants with obstructive hydrocephalus caused by space occupying third ventricle and mesencephalic cysts are reported. Despite immediate shunt insertion in all patients, there was either lack of clinical improvement or late onset of clinical deterioration. Neuroimaging (CT, MRI, and ventriculography) diagnosed the presence of non-communicating midline outpouchings of the CSF pathways causing obstruction of aqueductal CSF flow and brainstem signs. The cysts were of different origin. In one patient it was caused by a previous thalamic haemorrhage, in another patient by neonatal Escherichia coli meningoventriculitis. In two cases with obstructive hydrocephalus at birth, the aetiology is unclear. Direct puncture and drainage of the cysts led to clinical improvement. The cysts were poorly visualised on CT and could be misinterpreted as an enlarged third ventricle, simulating congenital aqueduct stenosis. Careful neuroradiological investigation is necessary to establish an accurate diagnosis and neurosurgical management. In such cases with hydrocephalus and persisting ventricular enlargement despite shunting, CT ventriculography is a useful tool.
Disciplines :
Pediatrics
Neurology
Author, co-author :
RAMAEKERS, Vincent ;  University of Aachen Germany > Paediatrics
Reul, J.;  University of Aachen, Germany > Neuroradiology
Siller, V.;  Bethlehem Krankenhaus, Stolberg, Germany
Thron, A.;  University of Aachen, Germany > Neuroradiology
Language :
English
Title :
Mesencephalic and third ventricle cysts: diagnosis and management in four cases.
Publication date :
October 1994
Journal title :
Journal of Neurology, Neurosurgery and Psychiatry
ISSN :
0022-3050
eISSN :
1468-330X
Publisher :
BMJ Publishing Group, United Kingdom
Volume :
57
Issue :
10
Pages :
1216-20
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 07 June 2014

Statistics


Number of views
28 (0 by ULiège)
Number of downloads
0 (0 by ULiège)

Scopus citations®
 
8
Scopus citations®
without self-citations
8
OpenCitations
 
5

Bibliography


Similar publications



Contact ORBi