Syringomyelia regression after shunting of a trapped fourth ventricle

  • Dukagjin Morina Department of Neurosurgery, Wedau Kliniken Duisburg, Germany.
  • Athanasios K. Petridis | opticdisc@aol.com Department of Neurosurgery, Wedau Kliniken Duisburg, Germany.
  • Friedericke S. Fritzsche Department of Neurosurgery, Wedau Kliniken Duisburg, Germany.
  • Georgios Ntoulias Department of Neurosurgery, Wedau Kliniken Duisburg, Germany.
  • Martin Scholz Department of Neurosurgery, Wedau Kliniken Duisburg, Germany.

Abstract

We describe a case of progressive syringomyelia following post-infectious trapped fourth ventricle (TFV), which resolved after shunting of the fourth ventricle. A 28-year-old female who had previously undergone treatment of intracerebral hemorrhage and meningitis developed a hydrocephalus with TFV. After 3 years she developed disturbance of walking and coordination. Cranial-CT revealed an enlargement of the shunted fourth ventricle as a result of shunt dysfunction. Furthermore a cervical syringomyelia developed. The patient underwent a revision of a failed fourth ventriculo- peritoneal shunt. Postoperatively, syringomyelia resolved within 6 months and the associated neurological deficits improved significantly. An insufficiency of cerebrospinal fluid draining among patients with TFV can be associated with communicating syringomyelia. An early detection and treatment seems important on resolving syringomyelia and avoiding permanent neurological deficits. Ventriculo-peritoneal shunt in trapped fourth ventricles can resolve a secondary syringomyelia.

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Published
2013-01-30
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Section
Case Reports
Keywords:
trapped fourth ventricle, syringomyelia.
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How to Cite
Morina, D., Petridis, A. K., Fritzsche, F. S., Ntoulias, G., & Scholz, M. (2013). Syringomyelia regression after shunting of a trapped fourth ventricle. Clinics and Practice, 3(1), e1. https://doi.org/10.4081/cp.2013.e1