Treatment of Hydrocephalus Associated with Neurosarcoidosis by Multiple Shunt Placement

被引：9
作者：
Kim, Sung Hoon [1 ]
Lee, Sang Weon [1 ]
Sung, Soon Ki [1 ]
Son, Dong Wuk [1 ]
机构：
[1] Pusan Natl Univ, Yangsan Hosp, Sch Med, Dept Neurosurg, Yangsan 626770, South Korea
来源：
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY | 2012年 / 52卷 / 03期
关键词：
Neurosarcoidosis; Hydrocephalus; Ventriculoperitoneal shunt; ISOLATED; 4TH-VENTRICLE; 4TH VENTRICLE; SARCOIDOSIS; MANAGEMENT; STENT;
D O I：
10.3340/jkns.2012.52.3.270
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 31-year-old man was admitted to our hospital due to hydrocephalus with neurosarcoidosis. Ventriculo-peritoneal shunting was performed in the right lateral ventricle with intravenous methylprednisolone. Subsequently, after 4 months, additional ventriculo-peritoneal shunting in the left lateral ventricle was performed due to the enlarged left lateral ventricle and slit-like right lateral ventricle. After 6 months, he was re-admitted due to upward gaze palsy, and magnetic resonance image showed an isolated fourth ventricle with both the inlet and outlet of fourth ventricle obstructed by recurrent neurosarcoidosis. Owing to the difficulty of using an endoscope, we performed neuronavigator-guided ventriculo-peritoneal shunting via the left lateral transcerebellar approach for the treatment of the isolated fourth ventricle with intravenous methyl prednisolone. The patient was discharged with improved neurological status.
引用
收藏
页码：270 / 272
页数：3
相关论文
共 14 条
  • [1] Hydrocephalus as a presenting manifestation of neurosarcoidosis
    Akhondi, H
    Barochia, S
    Holmström, B
    Williams, MJ
    [J]. SOUTHERN MEDICAL JOURNAL, 2003, 96 (04) : 403 - 406
  • [2] Allen RKA, 2003, SARCOIDOSIS VASC DIF, V20, P118
  • [3] Neurosarcoidosis which Manifested as Acute Hydrocephalus: Diagnosis and Treatment
    Benzagmout, Mohammed
    Boujraf, Saied
    Gongora-Rivera, Fernando
    Bresson, Damien
    Van-Effenterre, Remy
    [J]. INTERNAL MEDICINE, 2007, 46 (18) : 1601 - 1604
  • [4] Neurosarcoidosis
    Burns, TM
    [J]. ARCHIVES OF NEUROLOGY, 2003, 60 (08) : 1166 - 1168
  • [5] Endoscopic aqueductoplasty and placement of a stent in the cerebral aqueduct in the management of isolated fourth ventricle in children
    Cinalli, G
    Spennato, P
    Savarese, L
    Ruggiero, C
    Aliberti, F
    Cuomo, L
    Cianciulli, E
    Maggi, G
    [J]. JOURNAL OF NEUROSURGERY, 2006, 104 (01) : 21 - 27
  • [6] NEUROLOGIC MANIFESTATIONS IN SARCOIDOSIS - REVIEW OF LITERATURE, WITH A REPORT OF 23 CASES
    DELANEY, P
    [J]. ANNALS OF INTERNAL MEDICINE, 1977, 87 (03) : 336 - 345
  • [7] ISOLATED VENTRICLES FOLLOWING INTRAVENTRICULAR HEMORRHAGE
    ELLER, TW
    PASTERNAK, JF
    [J]. JOURNAL OF NEUROSURGERY, 1985, 62 (03) : 357 - 362
  • [8] Isolated third and fourth ventricles associated with neurosarcoidosis successfully treated by neuroendoscopy - Case report
    Hamada, H
    Hayashi, N
    Kurimoto, M
    Umemura, K
    Hirashima, Y
    Endo, S
    [J]. NEUROLOGIA MEDICO-CHIRURGICA, 2004, 44 (08) : 435 - 437
  • [9] Management strategies for treatment of the trapped fourth ventricle
    Harter, DH
    [J]. CHILDS NERVOUS SYSTEM, 2004, 20 (10) : 710 - 716
  • [10] Jarnier D, 1999, NEUROCHIRURGIE, V45, P214
12