Retroclival arachnoid cyst in a preterm infant after ventriculitis and intraventricular hemorrhage-a case report

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Matthias Preuß1, Ulrich Thome, Jens Kluge

  • 1Department of Neurosurgery, Pediatric Neurosurgery, University Hospital Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany, preuss@neurosurgeon.ch.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|August 11, 2014
PubMed

Insights

A preterm infant with complex hydrocephalus and a retroclival cyst underwent successful endoscopic surgery. This treatment established drainage, resolving the brainstem compression and leading to normal development.

Area of Science:

  • Pediatric Neurosurgery
  • Neuroendoscopy
  • Hydrocephalus Management

Background:

  • Posthemorrhagic hydrocephalus is a significant complication in preterm infants.
  • Retroclival cysts can cause severe neurological deficits due to brainstem compression.

Observation:

  • A 29-gestational-week preterm infant presented with complicated hydrocephalus and a retroclival cyst.
  • Initial endoscopic third ventriculocisternocystostomy (ETVCC) provided temporary relief but failed due to stoma reclosure.

Findings:

  • A second, navigated endoscopic ventriculocisternocystostomy with stent catheter placement connected to a ventriculoperitoneal (VP) shunt was performed.
  • This procedure successfully created a communication between the retroclival cyst and the ventricular system, addressing multiloculated hydrocephalus.

Implications:

  • This minimally invasive endoscopic strategy effectively treated a complex case of hydrocephalus with a retroclival cyst.
  • The successful intervention facilitated the child's uneventful neurodevelopmental progression.
Abstract

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