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Congenital ventriculocisternostomy. Case report

K S Mann, V K Khosla, D R Gulati

    Journal of Neurosurgery
    |January 1, 1981
    PubMed
    Summary
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    This case report details an infant with occipital meningocele who had a congenital ventriculocisternostomy. The study found a spontaneous ventriculocisternostomy alongside aqueductal stenosis, offering insights into rare pediatric neurological conditions.

    Area of Science:

    • Neuroscience
    • Pediatric Neurosurgery
    • Developmental Biology

    Background:

    • Occipital meningocele is a rare congenital condition involving protrusion of meninges through a defect in the skull.
    • Congenital ventriculocisternostomy is an uncommon anatomical variation potentially affecting cerebrospinal fluid dynamics.
    • Aqueductal stenosis is a frequent cause of hydrocephalus in infants.

    Observation:

    • A neonate presented with a significant occipital meningocele.
    • Diagnostic imaging, specifically Conray ventriculography, was performed.
    • The ventriculography revealed an unexpected spontaneous ventriculocisternostomy.

    Findings:

    • The infant exhibited both a spontaneous ventriculocisternostomy and stenosis of the aqueduct of Sylvius.

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  • This combination suggests a complex interplay of developmental anomalies affecting cerebrospinal fluid pathways.
  • The findings highlight a unique anatomical configuration in this pediatric case.

    • Implications:

    • This case contributes to the understanding of rare congenital cerebrospinal fluid pathway abnormalities.
    • It underscores the importance of detailed neuroimaging in evaluating complex pediatric neurological malformations.
    • Further research into the embryological origins of such spontaneous shunts may elucidate developmental processes.