Open AccessCombined approach of multiloculated hydrocephalus and isolated fourth ventricle
Author(s) -
Lucas de Souza Rodrigues dos Santos,
Leo Gordiano Matias,
Fernando Luís Maeda,
Humberto Belém de Aquino,
Enrico Ghizoni
Publication year - 2020
Publication title -
archives of pediatric neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 2675-3626
DOI - 10.46900/apn.v2i2(may-august).29
Subject(s) - hydrocephalus , medicine , ventricle , dissection (medical) , craniotomy , fourth ventricle , lateral ventricles , lumbosacral joint , surgery , cerebral ventricle , anatomy , cardiology
A female newborn patient presents with meningitis and hydrocephalus after lumbosacral myelomeningocele repair and skin closure. An external ventricular drain was used during the meningitis treatment. Patient had a late onset multiloculated hydrocephalus and isolated fourth ventricle on CT scan follow-up. We performed combined approach with a craniotomy, dissection of intraparietal sulcus entering in the atrium of left lateral ventricle and used endoscopic assistance to fenestrate intraventricular septations and to put a ventricular catheter through tentorium to drain both supra and infratentorial ventricles. The patient improved clinically and radiologically.