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Obstructive Hydrocephalus Secondary to Enlarged Virchow-Robin Spaces: A Rare Cause of Pulsatile Tinnitus
Christopher Donaldson1, Gurkirat Chatha1, Ronil V Chandra2
1Department of Neurosurgery, Monash Medical Centre, Monash Health, Clayton, Melbourne, Victoria, Australia.
Background:
Obstructive hydrocephalus secondary to enlarged Virchow-Robin Spaces (VRS) is a rare entity, with only a few cases reported in the literature. Presenting symptoms vary widely from headaches to dizziness.
Case Description:
We report a case of a 31-year-old man who presented with pulsatile tinnitus and magnetic resonance imaging showing obstructive hydrocephalus secondary to tumefactive VRS. After a cerebrospinal fluid diversion procedure in the form of an endoscopic third ventriculostomy, he had almost complete resolution of his symptoms.
Conclusions:
This is the first case of obstructive hydrocephalus secondary to enlarged VRS, presenting with pulsatile tinnitus.
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