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Retroclival arachnoid cyst in a preterm infant after ventriculitis and intraventricular hemorrhage—a case report

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Abstract

Discussion

We present a case of a preterm boy of 29 gestational weeks with complicated posthemorrhagic hydrocephalus who developed a retroclival cyst extending to the upper cervical spinal canal and leading to brainstem compression. At the age of 2 months, third ventriculocisternocystostomy (ETVCC) resulted in temporary relief but was followed by reclosure of the stoma within weeks. At the age of 4 months, navigated endoscopic ventriculocisternocystostomy and endoscopy-guided stent catheter placement was performed with connection to a ventriculoperitoneal (VP) shunt system through a burr hole reservoir.

Conclusion

This strategy improved the multiloculated hydrocephalus by establishing a communication between theretroclival subarachnoid cyst and the ventricular system, leading to uneventful further development of the child.

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Conflict of interest

The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.

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Correspondence to Matthias Preuß.

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Preuß, M., Thome, U., Kluge, J. et al. Retroclival arachnoid cyst in a preterm infant after ventriculitis and intraventricular hemorrhage—a case report. Childs Nerv Syst 31, 347–350 (2015). https://doi.org/10.1007/s00381-014-2518-0

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  • DOI: https://doi.org/10.1007/s00381-014-2518-0

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