Open AccessSpontaneous intraventricular rupture of a craniopharyngioma cyst: A case report
Author(s) -
Kunal Vakharia,
Ioannis Siasios,
Alexander B. Dorsch,
Jody Leonardo
Publication year - 2017
Publication title -
international journal of critical illness and injury science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.274
H-Index - 12
eISSN - 2231-5004
pISSN - 2229-5151
DOI - 10.4103/ijciis.ijciis_121_16
Subject(s) - medicine , craniopharyngioma , ommaya reservoir , hydrocephalus , cyst , surgery , ventriculostomy , intraventricular hemorrhage , emergency department , ventriculitis , gestational age , pregnancy , chemotherapy , psychiatry , biology , genetics
Intraventricular rupture of craniopharyngioma cysts is an unusual event which is associated with a high risk of loculated or communicating hydrocephalus. A 75-year-old woman presented at the Emergency Department of our hospital with mental status deterioration due to chemical ventriculitis and acute hydrocephalus following the intraventricular rupture of a craniopharyngioma cyst. The patient was treated with stress-dose steroid therapy. In addition, she underwent placement of an external ventricular drain and endoscopy-assisted intra-cystic placement of an Ommaya reservoir for the aspiration of the cystic fluid. The patient's condition improved; she was shunted in an expeditious fashion and discharged from the Intensive Care Unit within 2 weeks of her admission with the reservoir in place for the continued drainage of the cyst.