Affiliation:
1. Universidade Federal de Sao Paulo, Brazil; Hospital da Crianca Santo Antonio; Hospital Moinhos de Vento, Brasil
2. Unifesp; Unifesp, Brasil
Abstract
OBJECTIVE: Blake's pouch cyst (BPC) is a midline cystic malformation of the posterior fossa, within Dandy-Walker's complex (DWC), often associated with hydrocephalus. Endoscopic third ventriculostomy (ETV) has been an alternative to conventional methods for BPC treatment. This study aimed at reporting our experience with ETV in a series of patients with BPC. METHODS: Of 33 patients diagnosed with midline posterior fossa cyst, 26 met the protocol criteria for DWC, and eight subjects with BPC were selected (aged one month to two years old). All cases were treated with ETV. RESULTS: Five patients were male; and three were prenatally diagnosed. They had hydrocephalus and motor deficiencies. Motor assessment at a five-year follow-up yielded normal findings. All patients improved, and only one had residual cognitive dysfunction, despite overall neurological improvement. There were no complications. CONCLUSIONS: ETV was a safe and effective procedure, reducing risks and morbidity associated with open surgery and shunt-related problems.
Subject
Neurology,Clinical Neurology
Reference31 articles.
1. Posterior fossa cysts clinical, neuroradiological and surgical features;Arai H;Childs Nerv Syst,1991
2. Diagnosis and treatment of hydrocephalus due to occlusion of the foramina of Magendie and Luschka;Dandy WE;Surge Gynecol Obstet,1921
3. On the pathogenesis of the Dandy-Walker-Brodal syndrome;Portugal JR;Zentralbl Neurochir,1962
4. Internal hydrocephalus an experimental, clinical, and pathological study;Dandy WE;Am J Dis Child,1914
5. Meckel syndrome and Dandy Walker malformation;Al-Gazali LI;Clin Dysmorphol,1996
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