Spontaneous ventriculostomy in a patient with obstructive hydrocephalus.

Kim, L J; Feiz-Erfan, I; Clatterbuck, R E; Spetzler, R F · Acta Neurochir (Wien) · 2005

case_report · Level V

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Abstract

Spontaneous ventriculostomy related to progressive obstructive hydrocephalus is rare. Radiologic demonstration of such a phenomenon can be delineated with magnetic resonance imaging (MRI) and cine MRI. A 59-year-old woman with a known tectal glioma and symptoms of chronic hydrocephalus developed progressively worsening headaches. During follow-up, she noted spontaneous relief of her headaches. Follow-up cine MRI demonstrated a spontaneous ventriculostomy via the floor of the third ventricle. Clinicians should be aware of spontaneous ventriculostomy demonstrable on cine MRI because it may obviate the need for a CSF diversion procedure.

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