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[Spontaneous ventriculocisternostomies].

G Gemende, G Lang, D Kintzel

    Psychiatrie, Neurologie, Und Medizinische Psychologie
    |August 1, 1978
    PubMed
    Summary
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    Spontaneous ventriculocisternostomy, a rare third ventricle perforation, can lead to clinical remission by enabling cerebrospinal fluid drainage. This study details a case and discusses related ventricular wall abnormalities.

    Area of Science:

    • Neurosurgery
    • Neuroradiology
    • Cerebrospinal Fluid Dynamics

    Background:

    • Benign aqueductal occlusion can cause increased intracranial pressure.
    • Spontaneous cerebrospinal fluid (CSF) pathways are crucial for neurological health.
    • Ventriculocisternostomy represents a rare but significant CSF diversion route.

    Observation:

    • A pantopaque ventriculogram visualized a spontaneous ventriculocisternostomy.
    • The procedure occurred over the right suprapinealis region.
    • This occurred in a patient with confirmed benign aqueductal stenosis.

    Findings:

    • Clinical remission correlated with adequate spontaneous CSF drainage via the ventriculocisternostomy.
    • The literature review identified 13 prior cases of third ventricle perforations.

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  • Nine instances of complete lateral ventricular rupture were also documented.

    • Implications:

    • Understanding spontaneous ventriculocisternostomy is vital for neurosurgical interventions.
    • Distinguishing these from ventricular ruptures and diverticula is critical for accurate diagnosis.
    • This finding highlights the potential for natural CSF pathway restoration in certain conditions.