病因不常见的阻塞性脑积水：青少年时期出现的导水管网的病例报告和神经外科治疗。

IF 1.3 4区医学 Q4 CLINICAL NEUROLOGY

Child's Nervous System Pub Date : 2024-12-01 Epub Date: 2024-11-01 DOI:10.1007/s00381-024-06645-9

Aseel Masarwy, Christopher Watterson, Andre Boyke, David Bonda, Moise Danielpour

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引用次数: 0

摘要

导言导水管蹼是阻塞性脑积水的罕见病因。准确的诊断和干预可以预防神经系统并发症的发生：在此，我们描述了一例因头痛和呕吐而就诊的患儿。磁共振成像（MRI）显示，导水管网导致梗阻性三脑室脑积水。内镜下第三脑室造口术（ETV）成功恢复了脑脊液（CSF）的流动：本病例强调了相位对比和 T2 加权脑脊液流电影磁共振成像对诊断导水管蹼的重要性。这些方法为了解 CSF 动态和指导适当的神经外科干预提供了宝贵的信息。

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Obstructive hydrocephalus of uncommon etiology: case report and neurosurgical management of aqueductal web presenting in adolescence.

Introduction: Aqueductal webs are a rare cause of obstructive hydrocephalus. Accurate diagnosis and intervention can prevent neurological complications.

Case presentation: Herein, we describe a case of a child presenting with headaches and vomiting. Magnetic resonance imaging (MRI) revealed obstructive tri-ventricular hydrocephalus caused by an aqueductal web. Endoscopic third ventriculostomy (ETV) was successfully performed to restore cerebrospinal fluid (CSF) flow.

Conclusion: This case underscores the importance of phase-contrast and T2-weighted cinematic magnetic resonance imaging of cerebrospinal fluid flow for diagnosis of aqueductal webs. These modalities provide valuable insights into CSF dynamics and guidance of appropriate neurosurgical intervention.

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来源期刊

Child's Nervous System 医学-临床神经学

CiteScore

3.00

自引率

7.10%

发文量

322

审稿时长

3 months

期刊介绍： The journal has been expanded to encompass all aspects of pediatric neurosciences concerning the developmental and acquired abnormalities of the nervous system and its coverings, functional disorders, epilepsy, spasticity, basic and clinical neuro-oncology, rehabilitation and trauma. Global pediatric neurosurgery is an additional field of interest that will be considered for publication in the journal.