Fourth Ventricle Outlet Obstruction and Diverticular Enlargement of Luschka Foramina in a Child with Down Syndrome-Reference-Cited by-同舟云学术

Fourth Ventricle Outlet Obstruction and Diverticular Enlargement of Luschka Foramina in a Child with Down Syndrome

Published:2020 Issue:6 Volume:55 Page:359-362
ISSN:1016-2291
Container-title:Pediatric Neurosurgery
language:en
Short-container-title:Pediatr Neurosurg

Author:

Orlando Valentina,Spennato Pietro^ORCID,De Liso Maria,Trischitta Vincenzo,Imperato Alessia,Cinalli Giuseppe

Abstract

Introduction: Hydrocephalus is not usually part of Down syndrome (DS). Fourth ventricle outlet obstruction is a rare cause of obstructive hydrocephalus, difficult to diagnose, because tetraventricular dilatation may suggest a communicant/nonobstructive hydrocephalus. Case Presentation: We describe the case of a 6-year-old boy with obstructive tetraventricular hydrocephalus, caused by Luschka and Magendie foramina obstruction and diverticular enlargement of Luschka foramina (the so-called fourth ventricle outlet obstruction) associated with DS. He was treated with endoscopic third ventriculostomy (ETV) without complications, and a follow-up MRI revealed reduction of the ventricles, disappearance of the diverticula, and patency of the ventriculostomy. Conclusion: Diverticular enlargement of Luschka foramina is an important radiological finding for obstructive tetraventricular hydrocephalus. ETV is a viable option in tetraventricular obstructive hydrocephalus in DS.

Publisher

S. Karger AG

Subject

Neurology (clinical),General Medicine,Surgery,Pediatrics, Perinatology and Child Health

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