Acta Neurochirurgica

, Volume 155, Issue 5, pp 901–902 | Cite as

Letter to the Editor of Acta Neurochirurgica: Obstructive hydrocephalus caused by unruptured arteriovenous malformation treated with endoscopic third ventriculostomy

  • Rodrigo Rodríguez Rodríguez
  • Joan Molet Teixido
Letter to the editor- Neurosurgical Techniques

Dear Editor,

The most common presentation of symptomatic brain arteriovenous malformations (AVM) is intracranial hemorrhage [2, 4]. Less common presenting symptoms are epilepsy, headache and focal neurological deficits [4]. Symptoms secondary to hydrocephalus are unusual in adults, and we found only six reports in the literature describing unruptured AVM as the source of hydrocephalus in adults [4, 5, 6, 7, 9].

Obstruction of the ventricles by a drainage vein or the nidus of AVM is the cause of hydrocephalus in unruptured AVM. A less common cause in unruptured AVM is overproduction of cerebrospinal fluid (CSF) [1].

Endoscopic surgery is generally considered advantageous to treat obstructive hydrocephalus due to compression of the Sylvius aqueduct by tumor or aqueductal stenosis. Recent advances in optical technology have allowed new endoscopic surgical options in skull base and pituitary tumors, colloid cysts and arachnoid cysts.

We report two adult patients with unruptured AVM...


Hydrocephalus Arteriovenous Malformation Arachnoid Cyst Obstructive Hydrocephalus Glasgow Outcome Score 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflicts of interest



  1. 1.
    Carleton CC, Cauthen JC (1975) Vascular (“arteriovenous”) malformations of the choroid plexus. Arch Pathol 99:286–288PubMedGoogle Scholar
  2. 2.
    Choi JH, Mohr JP (2005) Brain arteriovenous malformations in adults. Lancet Neurol 4:299–308PubMedCrossRefGoogle Scholar
  3. 3.
    Esparza J, Lobato RD, Muñoz MJ, Chillon D, Portillo JM, Lamas E (1981) Giant cerebral arterioveous malformation producing a non-communicating hycrocephalus. Surg Neurol 15:76–80PubMedCrossRefGoogle Scholar
  4. 4.
    Geibprasert S, Pereira V, Krings T, Jiarakongmun P, Lasjaunias P, Pongpech S (2009) Hydrocephalus in unruptured brain arteriovenous malformations: pathomechanical considerations, therapeutic implications, and clinical course. J Neurosurg 110:500–507PubMedCrossRefGoogle Scholar
  5. 5.
    Lobato RD, Lamas E, Cordobes F, Muñoz MJ, Roger R (1980) Chronic adult hydrocephalus due to uncommon causes. Acta Neurochir (Wien) 55:85–97CrossRefGoogle Scholar
  6. 6.
    Mindea SA, Yang BP, Batjer HH (2007) Unruptured arteriovenous malformation in a patient presenting with obstructive hydrocephalus. Case report and review of the literature. Neurosurg Focus 22(4):E11PubMedCrossRefGoogle Scholar
  7. 7.
    Pribil S, Boone SC, Waley R (1983) Obstructive hydrocephalus at the anterior third ventricle caused by dilated veins from an arteriovenous malformation. Surg Neurol 20:487–492PubMedCrossRefGoogle Scholar
  8. 8.
    Pun KK, YU YL, Huang CY, Woo E (1987) Ventriculo-peritoneal shunting of acute hydrocephalus in vein of Galen malformation. Clin Exp Neurol 23:209–212PubMedGoogle Scholar
  9. 9.
    U HS, Kerber C (1983) Ventricular obstruction secondary to vascular malformations. Neurosurgery 12:572–575PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Wien 2013

Authors and Affiliations

  • Rodrigo Rodríguez Rodríguez
    • 1
  • Joan Molet Teixido
    • 1
  1. 1.Department of NeurosurgeryHospital de la Santa Creu i Sant Pau.BarcelonaSpain

Personalised recommendations