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Treatment of intermittent obstructive hydrocephalus secondary to a choroid plexus cyst

Tanya Z Filardi1, Laura Finn, Patrik Gabikian

  • 1Department of Neurological Surgery, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington 98105, USA. tanya.filardi@seattlechildrens.org

Journal of Neurosurgery. Pediatrics
|December 3, 2009
PubMed

Insights

A choroid plexus cyst caused intermittent obstructive hydrocephalus in an infant. Endoscopic cyst fenestration resolved the condition, offering a unique case study for pediatric neurosurgery.

Area of Science:

  • Pediatric Neurosurgery
  • Neuroimaging
  • Congenital Neurological Disorders

Background:

  • Hydrocephalus in infants can arise from various causes, including intraventricular cysts.
  • Choroid plexus cysts are common but rarely cause significant obstructive hydrocephalus.

Observation:

  • An 11-week-old infant presented with acute symptoms of hydrocephalus, including vomiting and lethargy.
  • Initial CT scan confirmed hydrocephalus, which transiently resolved.
  • MRI revealed intermittent third ventricular obstruction by a choroid plexus cyst.

Findings:

  • The choroid plexus cyst intermittently obstructed the third ventricle, leading to obstructive hydrocephalus.
  • Endoscopic fenestration of the cyst successfully treated the condition.

Implications:

  • This case highlights the importance of considering intermittent obstruction in pediatric hydrocephalus.
  • Endoscopic fenestration is an effective treatment for hydrocephalus secondary to third ventricular choroid plexus cysts.
  • Early diagnosis and intervention are crucial for favorable outcomes in infantile hydrocephalus.

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