The Experts below are selected from a list of 327 Experts worldwide ranked by ideXlab platform
Orkun Koban - One of the best experts on this subject based on the ideXlab platform.
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Spontaneous third ventriculostomy 8 years after diagnosis of Obstructive Hydrocephalus
Child's Nervous System, 2016Co-Authors: Ahmet Öğrenci, Murat Şakir Ekşi, Orkun KobanAbstract:Background Spontaneous ventriculostomy is spontaneous rupture of membranes separating the ventricular system from the subarachnoid space in patients with chronic Obstructive Hydrocephalus that ends with resolution of symptoms. We present a case of spontaneous third ventriculostomy occurred in a 19-year-old girl 8 years after the initial diagnosis of Hydrocephalus. Case description An 11-year-old girl applied to the clinic with intermittent headaches. She was neurologically stable with no visual problems. On her brain MRI, Obstructive Hydrocephalus was observed. Cerebrospinal fluid diversion procedures were recommended, yet the family denied any interventional procedure. She had routine follow-ups with occasional clinical admissions because of ongoing intermittent headaches. On her last clinical visit, 8 years after the first one, she was in well condition with improvement in her headache in the last 4 months. Her new brain MRI showed an active CSF flow between the basal cistern and the third ventricle. Discussion and conclusion In patients with aqueductal stenosis and without any other mass lesion, wait and see protocol might be conveyed in case of mild symptoms of Hydrocephalus. However, there is need for large-scaled studies to make a more comprehensive statement for benign Obstructive Hydrocephalus cases.
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spontaneous third ventriculostomy 8 years after diagnosis of Obstructive Hydrocephalus
Childs Nervous System, 2016Co-Authors: Ahmet Öğrenci, Murat Şakir Ekşi, Orkun KobanAbstract:Background Spontaneous ventriculostomy is spontaneous rupture of membranes separating the ventricular system from the subarachnoid space in patients with chronic Obstructive Hydrocephalus that ends with resolution of symptoms. We present a case of spontaneous third ventriculostomy occurred in a 19-year-old girl 8 years after the initial diagnosis of Hydrocephalus.
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management of Obstructive Hydrocephalus in pregnant patient
Asian journal of neurosurgery, 2016Co-Authors: Murat Şakir Ekşi, Ahmet Öğrenci, Osman Ersegun Batcik, Orkun KobanAbstract:De novo Obstructive Hydrocephalus is a rare event during pregnancy. There are only case reports presented in literature. We aimed to discuss the pathophysiological basis and management options with an exemplary case presentation and review of the current literature. A 28-year-old G2P1 patient presented to our clinic with headache, vomiting, and deteriorated vision at the 8th week of gestation. She had no history of central nervous system infection or trauma. A brain magnetic resonance imaging was obtained. There was Hydrocephalus due to cerebral aqueduct stenosis (Evan's index of 58%). She was managed conservatively with bed rest and diuretics; however, she got no relief. A ventriculoperitoneal shunt was inserted at the 13th week of gestation. At the 38th week, she had cesarean section (C/S) due to previous history of C/S in the first pregnancy and present cord entanglement of the fetus. C/S was conducted under epidural anesthesia after conforming she had no increased intra cranial pressure findings. Delivery was uneventful with a healthy newborn. Obstructive Hydrocephalus is a very rare complication during pregnancy. Hydrocephalus becomes obvious and necessitates treatment, before the third trimester of pregnancy. Timely diagnosis, especially differentiation from preeclampsia, is a life-saving step. If no complication happens during intervention for Hydrocephalus, spontaneous vaginal delivery is a safe way of delivery for both mother's and newborn's well-being. C/S should be saved for obstetrical indications and can be conducted under epidural anesthesia if intracranial pressure is kept under control. Interdisciplinary approach of neurosurgeons and anesthesiologists is pivotal for delicate care of the patient and the baby.
Tony Goldschlager - One of the best experts on this subject based on the ideXlab platform.
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Obstructive Hydrocephalus Secondary to Enlarged Virchow-Robin Spaces: A Rare Cause of Pulsatile Tinnitus
World neurosurgery, 2017Co-Authors: Christopher Donaldson, Gurkirat Chatha, Ronil V. Chandra, Tony GoldschlagerAbstract:Background Obstructive Hydrocephalus secondary to enlarged Virchow-Robin Spaces (VRS) is a rare entity, with only a few cases reported in the literature. Presenting symptoms vary widely from headaches to dizziness. Case Description We report a case of a 31-year-old man who presented with pulsatile tinnitus and magnetic resonance imaging showing Obstructive Hydrocephalus secondary to tumefactive VRS. After a cerebrospinal fluid diversion procedure in the form of an endoscopic third ventriculostomy, he had almost complete resolution of his symptoms. Conclusions This is the first case of Obstructive Hydrocephalus secondary to enlarged VRS, presenting with pulsatile tinnitus.
K Miszkiel - One of the best experts on this subject based on the ideXlab platform.
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Vertebrobasilar dolichoectasia: a rare cause of Obstructive Hydrocephalus: case report.
The British journal of radiology, 2008Co-Authors: A Siddiqui, N S Chew, K MiszkielAbstract:Here, we describe neuroimaging findings of an unusual case of severe vertebrobasilar dolichoectasia producing Obstructive Hydrocephalus. CT and MRI performed in a 71-year-old woman presenting with clinical features of raised intracranial pressure revealed severely ectatic and tortuous vertebral and basilar arteries. The ectatic basilar artery was causing compression and flattening of the midbrain. This had resulted in aqueductal compression and consequent Obstructive Hydrocephalus. The patient underwent emergency ventricular drainage, with resulting decompression of the ventricles and resolution of symptoms. Vertebrobasilar dolichoectasia refers to a markedly dilated and tortuous vertebrobasilar arterial system, occasionally presenting with thomboembolic episodes or symptoms related to local compressive effects, such as cranial nerve palsies. Direct midbrain compression with Obstructive Hydrocephalus is a rare complication that mandates emergency ventricular decompression.
Xavier Morandi - One of the best experts on this subject based on the ideXlab platform.
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Endoscopic third ventriculostomy for the treatment of Obstructive Hydrocephalus during pregnancy.
Obstetrics and gynecology, 2006Co-Authors: Laurent Riffaud, Jean-christophe Ferre, Béatrice Carsin-nicol, Xavier MorandiAbstract:Endoscopic third ventriculostomy is an effective procedure for treating Obstructive (noncommunicating) Hydrocephalus as an alternative to ventricular shunt placement. Five pregnant women undergoing endoscopic third ventriculostomy as treatment for newly diagnosed acute Obstructive Hydrocephalus (n=2) or in cases of malfunction of a preexisting ventriculoperitoneal shunt (n=3) are presented. Endoscopic third ventriculostomy may be preferred to ventricular shunt placement as the initial mode of treatment for pregnant patients with newly diagnosed Obstructive Hydrocephalus as well as in cases of malfunction of a preexisting shunt.
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Endoscopic third ventriculostomy for the treatment of Obstructive Hydrocephalus during pregnancy
Obstetrics & Gynecology, 2006Co-Authors: Laurent Riffaud, Jean-christophe Ferre, Béatrice Carsin-nicol, Xavier MorandiAbstract:BACKGROUND: Endoscopic third ventriculostomy is an effective procedure for treating Obstructive (noncommunicating) Hydrocephalus as an alternative to ventricular shunt placement. CASE: Five pregnant women undergoing endoscopic third ventriculostomy as treatment for newly diagnosed acute Obstructive Hydrocephalus (n=2) or in cases of malfunction of a preexisting ventriculoperitoneal shunt (n=3) are presented. CONCLUSION: Endoscopic third ventriculostomy may be preferred to ventricular shunt placement as the initial mode of treatment for pregnant patients with newly diagnosed Obstructive Hydrocephalus as well as in cases of malfunction of a preexisting shunt.
R J Vaughan - One of the best experts on this subject based on the ideXlab platform.
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Cavum septum pellucidum and Obstructive Hydrocephalus.
Journal of neurology neurosurgery and psychiatry, 1993Co-Authors: P. L. Silbert, S S Gubbay, R J VaughanAbstract:Five patients presented with symptoms related directly to pressure effects from their cavum septum pellucidum with persistent or intermittent Obstructive Hydrocephalus. The most characteristic presenting symptoms were intermittent postural headache and postural loss of consciousness. If cysts of the cavum septum pellucidum are symptomatic and stereotactic cyst puncture or fenestration are ineffective, ventriculoperitoneal shunting should be carried out before resorting to more radical excision of the cyst.
