Skip to main content
SpringerLink
Log in

Successful treatment of tremor by endoscopic third ventriculostomy in an adolescent with obstructive hydrocephalus due to tectal glioma: case report

  • Case Report
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Hydrocephalus presenting with movement disorder is very rare, especially in children. We present the case of a 16-year-old boy who presented with bilateral intention tremor and slowed speech as a result of obstructive hydrocephalus secondary to a tectal glioma. Treatment with endoscopic third ventriculostomy improved his symptoms. We review the literature regarding this unusual presentation of an otherwise common condition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Bhattacharyya KB, Senapati A, Basu S, Bhattacharya S, Ghosh S (2003) Bobble-head doll syndrome: some atypical features with a new lesion and review of the literature. Acta Neurol Scand 108:216–220

    Article  PubMed  CAS  Google Scholar 

  2. Bret P, Chazal J (1995) Chronic (“normal pressure”) hydrocephalus in childhood and adolescence. A review of 16 cases and reappraisal of the syndrome. Childs Nerv Syst 11:687–691

    Article  PubMed  CAS  Google Scholar 

  3. da Silva LR, Cavalheiro S, Zymberg ST (2007) Endoscopic aqueductoplasty in the treatment of aqueductal stenosis. Childs Nerv Syst 23:1263–1268

    Article  PubMed  Google Scholar 

  4. Fukuhara T, Luciano MG (2001) Clinical features of late-onset idiopathic aqueductal stenosis. Surg Neurol 55:132–136, Discussion 136–137

    Article  PubMed  CAS  Google Scholar 

  5. Gatto M, Micheli F, Pardal MF (1990) Blepharoclonus and parkinsonism associated with aqueductal stenosis. Mov Disord 5:310–313

    Article  PubMed  CAS  Google Scholar 

  6. Grant GA, Avellino AM, Loeser JD, Ellenbogen RG, Berger MS, Roberts TS (1999) Management of intrinsic gliomas of the tectal plate in children A ten-year review. Pediatr Neurosurg 31:170–176

    Article  PubMed  CAS  Google Scholar 

  7. Halterman MW, Vates GE, Riggs G (2007) Teaching NeuroImage: tremor in aqueductal stenosis and response to endoscopic third ventriculostomy. Neurology 68:E29–E31

    Article  PubMed  Google Scholar 

  8. Hertel F, Zuchner M, Decker C, Erken E, Libri S, Schmitt M, Bettag M (2006) Unilateral Holmes tremor, clearly responsive to cerebrospinal fluid release, in a patient with an ischemic midbrain lesion and associated chronic hydrocephalic ventricle enlargement. Case report. J Neurosurg 104:448–451

    Article  PubMed  Google Scholar 

  9. Jellinger G (1986) Anatomopathology of non-tumoral aqueductal stenosis. J Neurosurg Sci 30:1–16

    PubMed  CAS  Google Scholar 

  10. Keane JR (1995) Tremor as the result of shunt obstruction: four patients with cysticercosis and secondary parkinsonism: report of four cases. Neurosurgery 37:520–522

    Article  PubMed  CAS  Google Scholar 

  11. Krauss JK, Regel JP, Droste DW, Orszagh M, Borremans JJ, Vach W (1997) Movement disorders in adult hydrocephalus. Mov Disord 12:53–60

    Article  PubMed  CAS  Google Scholar 

  12. Lee KJ, Joo WI, Kim MC, Choi CR (2005) Obstructive hydrocephalus induced tremor in patient with mesencephalic lacunae. J Korean Neurosurg Soc 37:456–458

    Google Scholar 

  13. Mascalchi M, Salvi F, Godano U, Nistri M, Taiuti R, Tosetti M, Villari N, Calbucci F (1999) Expanding lacunae causing triventricular hydrocephalus. Report of two cases. J Neurosurg 91:669–674

    Article  PubMed  CAS  Google Scholar 

  14. Soelberg Sorensen P, Jansen EC, Gjerris F (1986) Motor disturbances in normal-pressure hydrocephalus. Special reference to stance and gait. Arch Neurol 43:34–38

    PubMed  CAS  Google Scholar 

  15. Symonds CP (1927) Case of syringomyelia with hydrocephalus and coarse tremor (fibrillation) of the right hand. Proc R Soc Med 20:1241–1242

    Google Scholar 

  16. Voermans NC, Schutte PJ, Bloem BR (2007) Hydrocephalus induced chorea. J Neurol Neurosurg Psychiatry 78:1284–1285

    Article  PubMed  CAS  Google Scholar 

  17. Wagner W, Koch D (2005) Mechanisms of failure after endoscopic third ventriculostomy in young infants. J Neurosurg 103:43–49

    PubMed  Google Scholar 

  18. Yomo S, Hongo K, Kuroyanagi T, Kobayashi S (2006) Parkinsonism and midbrain dysfunction after shunt placement for obstructive hydrocephalus. J Clin Neurosci 13:373–378

    Article  PubMed  Google Scholar 

  19. Zeidler M, Dorman PJ, Ferguson IT, Bateman DE (1998) Parkinsonism associated with obstructive hydrocephalus due to idiopathic aqueductal stenosis. J Neurol Neurosurg Psychiatry 64:657–659

    Article  PubMed  CAS  Google Scholar 

  20. Zhang J, Williams MA, Rigamonti D (2008) Heritable essential tremor-idiopathic normal pressure hydrocephalus (ETINPH). Am J Med Genet A 146A:433–439

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Neurosurgery, National Taiwan University Hospital, Taipei, Taiwan

    Shih-Hung Yang

  2. Division of Neurosurgery, Hospital for Sick Children; 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8

    Abhaya V. Kulkarni

Authors
  1. Shih-Hung Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Abhaya V. Kulkarni
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Abhaya V. Kulkarni.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yang, SH., Kulkarni, A.V. Successful treatment of tremor by endoscopic third ventriculostomy in an adolescent with obstructive hydrocephalus due to tectal glioma: case report. Childs Nerv Syst 27, 1007–1010 (2011). https://doi.org/10.1007/s00381-011-1404-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-011-1404-2

Keywords

Search

Navigation