Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Suprapineal recess: an alternate site for third ventriculostomy? Case report.
Journal of Neurosurgery
Publication types: Case Reports ; Journal ArticlePublication Status: ppublish
This 30-year-old woman presented with clinical symptoms and signs of intracranial hypertension and Parinaud syndrome secondary to ventriculoperitoneal shunt dysfunction. Magnetic resonance (MR) imaging revealed gross triventricular hydrocephalus with a large suprapineal recess due to aqueductal stenosis. Using an endoscopic approach, a ventriculostomy was performed within the floor of the dilated suprapineal recess. Following this procedure the patient experienced alleviation of all her neurological symptoms and signs. Postoperative MR imaging and cerebrospinal fluid flow studies demonstrated a functioning ventriculostomy. The anatomy of the suprapineal recess and its suitability for endoscopic ventriculostomy are discussed.
Adult, Cerebral Aqueduct/pathology, Cerebral Aqueduct/surgery, Constriction, Pathologic/diagnosis, Constriction, Pathologic/surgery, Endoscopy, Equipment Failure, Female, Humans, Hydrocephalus/diagnosis, Hydrocephalus/surgery, Image Processing, Computer-Assisted, Intracranial Hypertension/diagnosis, Intracranial Hypertension/surgery, Magnetic Resonance Imaging, Mamillary Bodies/pathology, Mamillary Bodies/surgery, Microsurgery, Pineal Gland/pathology, Pineal Gland/surgery, Pituitary Gland, Posterior/pathology, Pituitary Gland, Posterior/surgery, Postoperative Complications/diagnosis, Postoperative Complications/surgery, Reoperation, Third Ventricle/pathology, Third Ventricle/surgery, Tomography, X-Ray Computed, Ventriculoperitoneal Shunt, Ventriculostomy/methods
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