Acta Neurochirurgica

, Volume 147, Issue 2, pp 219–220

Spontaneous ventriculostomy in a patient with obstructive hydrocephalus

Authors

  • L. J. Kim
    • Division of Neurological SurgeryBarrow Neurological Institute, St. Joseph’s Hospital and Medical Center
  • I. Feiz-Erfan
    • Division of Neurological SurgeryBarrow Neurological Institute, St. Joseph’s Hospital and Medical Center
  • R. E. Clatterbuck
    • The Johns Hopkins Hospital
  • R. F. Spetzler
    • Division of Neurological SurgeryBarrow Neurological Institute, St. Joseph’s Hospital and Medical Center
Brief Report of Special Case

DOI: 10.1007/s00701-004-0401-6

Cite this article as:
Kim, L., Feiz-Erfan, I., Clatterbuck, R. et al. Acta Neurochir (Wien) (2005) 147: 219. doi:10.1007/s00701-004-0401-6

Summary

Background. 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.

Case presentation. 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.

Interpretation. Clinicians should be aware of spontaneous ventriculostomy demonstrable on cine MRI because it may obviate the need for a CSF diversion procedure.

Keywords: Cine MRI; obstructive hydrocephalus; spontaneous ventriculostomy.
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© Springer-Verlag/Wien 2004