Document Detail

Endoscopic third ventriculostomy in hydrocephalus associated with achondroplasia.
MedLine Citation:
PMID:  22208325     Owner:  NLM     Status:  In-Data-Review    
Hydrocephalus in patients with achondroplasia is thought to be due to increased dural sinus venous pressure resulting from narrowing of the jugular foramen. In this setting, where hydrocephalus is presumed to be "vascular" in origin and therefore communicating, endoscopic third ventriculostomy (ETV) would seem contraindicated. The authors describe 3 patients in whom ETV was successfully performed, resulting in MR imaging-documented decreases in ventricle size. The patients were 11 months, 33 months, and 13 years at the time of surgery. All patients had serial preoperative MR images demonstrating progressive hydrocephalus in a "triventricular" pattern with a small fourth ventricle but an open aqueduct. All patients had undergone suboccipital decompression for foramen magnum stenosis prior to the treatment of hydrocephalus. Preoperative retrograde venography revealed variable pressure gradients across the jugular foramen. It is postulated that the increase in intracranial venous pressure resulting from jugular foramen stenosis may lead to disproportionate venous engorgement of the cerebellum and some degree of obstructive hydrocephalus amenable to ETV. The authors discuss the role of suboccipital decompression in the progression of hydrocephalus in patients with achondroplasia.
Dale Swift; Laszlo Nagy; Brian Robertson
Related Documents :
21750725 - A survey of factors associated with the utilization of community health centers for man...
17103015 - Variation in blood pressure as a guide to volume loading in children following cardiopu...
15016625 - Total heart volume variation throughout the cardiac cycle in humans.
6877565 - Hydraulic model of the cerebrovascular bed: an aid to understanding the volume-pressure...
21949625 - Critical appraisal of amlodipine and olmesartan medoxomil fixed-dose combination in ach...
3942675 - What changes can be expected during high frequency jet ventilation when the rate of ven...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  9     ISSN:  1933-0715     ISO Abbreviation:  J Neurosurg Pediatr     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  73-81     Citation Subset:  IM    
Neurosurgeons for Children and.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Conservative management of ventriculoperitoneal shunts in the setting of abdominal and pelvic infect...
Next Document:  Giant intradiploic pseudomeningocele of occipital bone.