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Split cerebral aqueduct: a neuroendoscopic illustration.

Alberto Feletti1, Alessandro Fiorindi2, Pierluigi Longatti2

  • 1Neurosurgery Unit, Department of Neurosciences, NOCSAE Modena Hospital, Via Giardini 1355, 41126, Baggiovara, Modena, Italy. alberto.feletti@gmail.com.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|August 2, 2015
PubMed
Summary

Forking of the cerebral aqueduct is a rare cause of hydrocephalus. Flexible neuroendoscopy allows for in vivo diagnosis and treatment of this condition.

Keywords:
Aqueductal stenosisCerebral aqueductForkingHydrocephalus

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Area of Science:

  • Neuroscience
  • Developmental Biology
  • Neurosurgery

Background:

  • Forking of the cerebral aqueduct is a rare congenital malformation.
  • It can present as a cause of hydrocephalus, sometimes with delayed onset.
  • Etiology may vary, but neuroendoscopy is often the optimal treatment.

Observation:

  • A case of forked cerebral aqueduct detected in vivo and treated with a flexible scope is presented.
  • Literature review on anatomical, functional, diagnostic, and therapeutic features is discussed.
  • Historically, diagnosis was limited to postmortem examination.

Findings:

  • Forked aqueduct is occasionally found in patients with delayed hydrocephalic decompensation.
  • Flexible neuroendoscopy facilitates direct, in vivo diagnosis.
  • Immediate treatment via third ventriculostomy is achievable.

Implications:

  • Flexible neuroendoscopy offers a minimally invasive approach for diagnosing and treating forked cerebral aqueduct.
  • This technique allows for prompt intervention in cases of hydrocephalus.
  • Advances in neuroendoscopy improve outcomes for rare congenital brain malformations.