Abstract
A case is reported with hydrocephalus subsequent to neonatal intraventricular and intracerebral hemorrhage. Hydrocephalus was diagnosed as obstructive, secondary to subarachnoid hemorrhage. However, the lateral ventricle in the hemisphere in which the intracerebral hemorrhage occurred dilated much more than that in the contralateral hemisphere. Hydrocephalus occurring in regions of the brain that have suffered destructive changes from a cause other than that of the hydrocephalus, as in this reported case, is proposed as a new category, (“destruction hydrocephalus”). It is to be distinguished from hydrocephalus with dilated ventricles due simply to increased intraventricular pressure. In “destructive hydrocephalus” dilatation of the ventricles occurs irregularly and rapidly, leading to secondary cerebral destruction. Therefore, treatment to prevent the progressive cerebral damage is required immediately.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Benda CE (1954) The Dandy-Walker syndrome or so-called atresia of the foramen of Magendie. Exp Neurol 13:14–29
Clark RG, Milhorat TH (1970) Experimental hydrocephalus. III. Light microscopic findings in acute and subacute obstructive hydrocephalus in the monkey. J Neurosurg 32:400–413
Dandy WE, Blackfan KD (1914) Internal hydrocephalus. An experimental, clinical and pathological study. Am J Dis Child 8:406–482
Dott NM (1927) A case of left unilateral hydrocephalus in an infant. Operation-cure. Brain 50:548–561
Hawkins JCIII, Hoffman HJ, Humphreys RP (1978) Isolated fourth ventricle as a complication of ventricular shunting. Report of three cases. J Neurosurg 49:910–913
Krishnamoorthy KS, Shannon DC, Delong GR, Todres ID, Davis KR (1979) Neurologic sequelae in the survivors of neonatal intraventricular hemorrhage. Pediatrics 64:233–237
Levene MI, Starte DR (1981) A longitudinal study of post-haemorrhagic ventricular dilatation in the newborn. Arch Dis Child 56:905–910
Nakamura S, Koga N, Tsubokawa T, Moriyasu N (1980) Cerebral and ventricular changes after the shunt operation of hydrocephalus. Prog Comput Tomogr 2:45–51
Nakamura S, Moriyasu N, Katagiri T (1983) Early pathological changes of the ventricular wall in load of the intraventricular pressure. Shoni Suitosho no Byotai oyobi Chiryo 2:7–16
Nakamura S, Tsubokawa T, Maeda K, Sasaki J, Imura S (1984) Pathophysiology and treatment of neonatal intracranial hemorrhage: with special reference to intraventricular hemorrhage. J Nihon Univ Med Assoc 43:263–271
Picaza JA, Cardelle G, Timenz M (1955) Hydroencephalodysplasia: an anatomico-clinical picture. J Neurosurg 12:535–549
Raimondi AJ, Samuelson G, Yarzagaray L, Norton T (1969) Atresia of the foramina of Luschka and Magendie: the Dandy Walker cyst. J Neurosurg 31:202–216
Raimondi AJ, Sato K, Shimoji T (1983) The Dandy Walker cyst. Karger, Basel
Rubin RC, Hochwald GM, Tiell M, Mizutani H, Ghatak N (1976) Hydrocephalus. I. Histological and ultrastructural changes in the pre-shunted cortical mantle. Surg Neurol 5:109–114
Rubin RC, Hochwald GM, Tiell M, Epstein F, Ghatak N, Wisniewski H (1979) Hydrocephalus. III. Reconstruction of the cerebral cortical mantle following ventricular shunting. Surg Neurol 5:179–183
Sahar A, Hochwald GM, Ransohoff J (1969) Alternate pathway for cerebrospinal fluid absorption in animals with experimental obstructive hydrocephalus. Exp Neurol 25:200–206
Salmon JH (1970) Isolated unilateral hydrocephalus following ventriculoatrial shunt. J Neurosurg 32:219–226
Scotti G, Musgrave MA, Fitz CR, Harwood-Nash DC (1980) The isolated fourth ventricle in children: CT and clinical review of 16 cases. AJR 135:1233–1238
Weller RO, Wisniewski H (1969) Histological and ultrastructural changes with experimental hydrocephalus in adult rabbits. Brain 92:891–928
Weller RO, Shulman K (1972) Infantile hydrocephalus. Clinical, histological and ultrastructural study of brain damage. J Neurosurg 36:255–265
Wisniewski H, Weller RO, Terry RD (1969) Experimental hydrocephalus produced by the subarachnoid infusion of silicone oil. J Neurosurg 31:10–14
Zimmerman RA, Bilaniuk LT, Gallo E (1978) Computed tomography of trapped fourth ventricle. AJR 130:503–506
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nakamura, S., Tsubokawa, T. Destructive hydrocephalus: a proposed new category. Child's Nerv Syst 2, 101–104 (1986). https://doi.org/10.1007/BF00286231
Issue Date:
DOI: https://doi.org/10.1007/BF00286231