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Child's Nervous System

, 27:1621 | Cite as

Hydrocephalus in aqueductal stenosis

  • Giuseppe Cinalli
  • Pietro Spennato
  • Anna Nastro
  • Ferdinando Aliberti
  • Vincenzo Trischitta
  • Claudio Ruggiero
  • Giuseppe Mirone
  • Emilio Cianciulli
Special Annual Issue

Abstract

Introduction

The sylvian aqueduct is the most common site of intraventricular blockage of the cerebro-spinal fluid. Clinical aspects, neuroradiological appearance, and treatment of hydrocephalus secondary to aqueductal stenosis are specific.

Methods

An extensive literature review concerning etiologic, pathogenetic, clinical, and neuroradiological aspects has been performed. Therapeutic options, prognosis, and intellectual outcome are also reviewed.

Conclusion

The correct interpretation of the modern neuroradiologic techniques may help in selecting adequate treatment between the two main options (third ventriculostomy or shunting). In the last decades, endoscopic third ventriculostomy has become the first-line treatment of aqueductal stenosis; however, some issues, such as the cause of failures in well selected patients, long-term outcome in infant treated with ETV, and effect of persistent ventriculomegaly on neuropsychological developmental, remain unanswered.

Keywords

Aqueductal stenosis Hydrocephalus Cerebro-spinal fluid dynamics Intellectual outcome Neuroendoscopy Endoscopic third ventriculostomy 

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Giuseppe Cinalli
    • 1
  • Pietro Spennato
    • 1
  • Anna Nastro
    • 2
  • Ferdinando Aliberti
    • 1
  • Vincenzo Trischitta
    • 1
  • Claudio Ruggiero
    • 1
  • Giuseppe Mirone
    • 1
  • Emilio Cianciulli
    • 2
  1. 1.Department of Pediatric NeurosurgerySantobono Children’s HospitalNaplesItaly
  2. 2.Department of NeuroradiologySantobono Children’s HospitalNaplesItaly

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