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Double compartment hydrocephalus--a new clinical entity

E L Foltz, D R DeFeo

    Neurosurgery
    |December 1, 1980
    PubMed
    Summary
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    Treatment of hydrocephalus by ventricular shunts.

    Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery·1996

    Double compartment hydrocephalus, affecting both supratentorial and infratentorial spaces, is a newly identified condition. Surgical removal of veil occlusions in the aqueduct offers significant recovery for affected patients.

    Area of Science:

    • Neurology
    • Neurosurgery
    • Pediatric Neurology

    Background:

    • Hydrocephalus can present with complex compartmental involvement.
    • Previous treatment for aqueductal hydrocephalus may lead to secondary complications.
    • Veil occlusion of the aqueduct is a less understood cause of hydrocephalus.

    Purpose of the Study:

    • To describe a series of patients with double compartment hydrocephalus.
    • To investigate the mechanism and clinical presentation of veil occlusion.
    • To evaluate the efficacy of surgical intervention for this condition.

    Main Methods:

    • Case series of eight patients with double compartment hydrocephalus.
    • Diagnostic work-up included computed tomographic (CT) scans, air studies, cerebrospinal fluid (CSF) flow studies, and direct pressure measurements.

    Related Experiment Videos

  • Surgical intervention involved removal of veil occlusions.

    • Main Results:

    • Five of six patients with veil occlusion experienced immediate recovery after surgical removal.
    • One infant developed panhydrocephalus after initial veil removal.
    • Secondary cerebellar-brain stem deficits were observed in patients with fourth ventricle enlargement post-shunt.

    Conclusions:

    • Double compartment hydrocephalus, including supratentorial and infratentorial involvement, is a significant clinical entity.
    • Conversion of aqueductal stenosis to veil occlusion may be a primary mechanism in infants.
    • Surgical removal of fourth ventricular veil occlusions is an effective treatment.