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[Idiopathic acute obstructive hydrocephalus. Case report].

S Fuentes1, Ph Métellus, T Adetchessi

  • 1Service de Neurochirurgie, CHRU de La Timone-Adulte, 264, rue Saint-Pierre, 13385 Marseille Cedex 5, France.

Neuro-Chirurgie
|April 13, 2006
PubMed
Summary
This summary is machine-generated.

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Acute hydrocephalus in adults is rare without shunts. This case highlights successful endoscopic third ventriculostomy for rapid recovery from unexplained acute hydrocephalus, potentially linked to Chiari I malformation.

Area of Science:

  • Neurology
  • Neurosurgery

Background:

  • Acute hydrocephalus in adults is uncommon, typically associated with shunts.
  • This case presents a rare instance of acute hydrocephalus with no clear initial cause in a 40-year-old male.

Observation:

  • The patient presented with rapid onset of intracranial hypertension symptoms including severe headache, nausea, and vomiting.
  • Clinical deterioration progressed to confusion and drowsiness within 24 hours of symptom onset.
  • Magnetic resonance imaging revealed quadri-ventricular hydrocephalus and a Chiari I malformation.

Findings:

  • Cerebrospinal fluid analysis, spinal MRI, and brain angiography ruled out common causes like infection, hemorrhage, or vascular abnormalities.
  • Endoscopic third ventriculostomy was performed emergently due to the patient's deteriorating condition.

Related Experiment Videos

  • The patient experienced rapid clinical improvement and discharge within 8 days.

    • Implications:

    • Endoscopic third ventriculostomy is an effective treatment for acute hydrocephalus of unclear etiology.
    • The relationship between the Chiari I malformation and acute hydrocephalus remains uncertain in this case.
    • Idiopathic stenosis of the foramen of Magendie and Luschka may be implicated in acute hydrocephalus decompensation.