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Asian J Neurosurg. 2018 Apr-Jun;13(2):503-506. doi: 10.4103/1793-5482.228533.

Endoscopic Management of a Fourth Ventricular Cyst.

Asian journal of neurosurgery

Saba Jafarpour, Morteza Faghih Jouibari, Leila Aghaghazvini, Vafa Rahimi-Movaghar

Affiliations

  1. Department of Neurology, Boston Children's Hospital, Boston, MA, USA.
  2. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  3. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
  4. Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
  5. Research Centre for Neural Repair, University of Tehran, Tehran, Iran.

PMID: 29682073 PMCID: PMC5898144 DOI: 10.4103/1793-5482.228533

Abstract

We report a case of a 12-year-old boy with previously shunted congenital hydrocephalus, presenting with a progressive headache, nausea, vomiting, and lethargy. In the brain magnetic resonance imaging, a large cyst was seen in the superior recess of the fourth ventricle extending through the cerebral aqueduct toward the third ventricle. Endoscopic dual fenestration of the cyst was performed successfully using the posterior suboccipital approach through the foramen of Magendie, which resulted in the relief of symptoms without any complications, and the patient was symptom-free in the subsequent follow-up visits for 4 years.

Keywords: Cerebral aqueduct; cyst; endoscopy; hydrocephalus; raised intracranial pressure; ventricle

Conflict of interest statement

There are no conflicts of interest.

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