Hidrosefali ile komplike olan bir intraventriküler hipotansiyon vakası

Key Findings & Data:Material And Methods: A 16-year-old patient suffering from nausea vomiting and blurred consciousness was admitted to the hospital.

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Conclusion & Impact:Keywords: Intracranial hypotension, Triventricular hydrocephalus, Lumbar puncture, Herniation

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Aim: Intracranial hypotension may have variable clinical presentation. The imaging characteristics of intracranial hypotension are especially well depicted on magnetic resonance imaging studies. Although the clinical and radiological manifestations of spontaneous intracranial hypotension are increasingly recognized in many reports, many other abnormalities in this disorder and complicating cases still exist. Material And Methods: A 16-year-old patient suffering from nausea vomiting and blurred consciousness was admitted to the hospital. MRI showed diffuse pachymeningeal thickening resembling intracranial hypotension and ventricular enlargement like compensated hydrocephalus. The patient was investigated and treated using endoscopic third ventriculostomy. Conclusion: The authors presented a case of intracranial hypotension complicated with hydrocephalus. Specific causes for intracranial hypotension as well as additional new treatment options will also be discussed. Keywords: Intracranial hypotension, Triventricular hydrocephalus, Lumbar puncture, Herniation

Özet

Amaç: İntrakranial hipotansiyon farklı klinik bulgular verebilen bir antitedir. MRI bulguları literatürde ayrıntılı olarak tarif edilmekle birlikte, nöroşirürji pratiğinde her zaman akla gelmemektedir. Aynı bulguların farklı sinir sistemi hastalıklarında da görülebilmesi, vakaları komplike hale getirmektedir. Yöntem Ve Gereç: 16 yaşında bayan hasta bulantı-kusma ve bilinç bulanıklığı nedeniyle hastanemize yatırıldı. MRI intrakranial hipotansiyonla uyumlu difüz pakimeningeal kalınlaşma ve kontrast tutulumu ve eşlik eden triventriküler genişleme gösterdi. Hasta ayrıntılı olarak incelendi ve endoskopik yolla 3. ventrikülostomi yapılarak tedavi edildi. Sonuç: Yazarlar, arrest hidrosefali ile komplike olan bir intrakranial hipotansiyon vakasını sunmuş ve tedavi yöntemi ile birlikte tartışmışlardır. Endoskopik 3. ventrikülostomi, bu vaka için tanı koydurucu ve emniyetli bir seçenek olmuştur.

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Cite This Article

ÖZIŞIK, P., BERKER, M., ÖNAL, B. (2010). Hidrosefali ile komplike olan bir intraventriküler hipotansiyon vakası. Turkish Neurosurgery, Cilt: 20 - Sayı: 4, 550–556. https://ajindex.com/articles/417778

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References (1)

Albayram S, Wasserman BA, Yousem DM, Wityk R: Intracranial hypotension as a cause of radiculopathy from cervical epidural venous engorgement: Case report. AJNR 23:618-621, 2002 2. Bai J, Yokoyama K, Kinuya S, Konishi S, Michigishi T, Tonami N: Radionuclide cisternogrphy in intracranial hypotension syndrome. Ann Nucl Med 16:75-78, 2002 3. Bang OY, Kim DI, Yoon SR, Choi IS: Idiopathic hypertrophic pachymeningeal lesions: Correlation between clinical patterns and neuroimaging characteristics. Eur Neurol 39:49-56, 1998 4. Bell WE, Joynt RJ, Sahs AL: Low spinal fluid pressure syndromes. Neurology 10:512-521, 1960 5. Blank SC, Shakir RA, Bindoff LA, Bradey N: Spontaneous intracranial hypotension: Clinical and magnetic resonance imaging characteristics. Clin Neurol Neurosurg 99:199-204, 1997 6. Bourekas EC, Lewin JS, Lanzieri CF: Postcontrast meningeal MR enhancement secondary to intracranial hypotension caused by lumbar puncture. J Comput Assist Tomogr 19: 299-301, 1995 7. Brightbill TC, Goodwin RS, Ford RG: Magnetic resonance imaging of intracranial hypotension syndrome with pathophysiological correlation. Headache 40:292-299, 2000 8. Bruera O, Bonamico L, Giglio JA, Sinay V, Leston JA, Figuerola ML: Intracranial hypotension: The nonspecific nature of MRI findings. Headache 40: 848-852, 2000 9. Chen CJ, Lee TH, Hsu HL, Tseng YC, Wong YC, Wang LJ: Spinal MR findings in spontaneous intracranial hypotension. Neuroradiology 44:996-1003, 2002 10. Chiapparini L, Farina L, D’Incerti L, Erbetta A, Pareyson D, Carriero MR, Savoiardo M: Spinal radiological findings in nine patients with spontaneous intracranial hypotension. Neuroradiology 44:143-152, 2002 11. Chung SJ, Kim JS, Lee MC: Syndrome of cerebral spinal fluid hypovolemia: Clinical and imaging features and outcomes. Neurology 55:1321-1327, 2000 12. Fukui MB, Meltzer CC, Kanal E, Smirniotopoulos JG: MR imaging of the meninges. Part II. Neoplastic disease. Radiology 201:605-612, 1996 13. Jeon TJ, Lee JD, Lee BI, Kim DI, Yoo HS: Radionuclide cisternogrphy in spontaneous intracranial hypotension with simultaneous leaks at the cervicothoracic and lumbar levels. Clin Nucl Med 26:114-116, 2001 14. Kawano Y, Kira J: Chronic hypertrophic cranial pachymeningitis associated with HTLV-1 infection. J Neurol Neurosurg Psychiatry 59:435-437, 1995 15. Kong DS, Park K, Nam DH, Lee JI, Kim JS, Eoh W, Kim JH: Clinical features and long-term results of spontaneous intracranial hypotension. Neurosurg 57:91-96, 2005 16. Leibold RA,