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Related Experiment Videos

Enterogenous cyst in the fourth ventricle--case report

S Okabe1, K Kamata, T Kohno

  • 1Seirei Memorial Hospital for Neurosurgery, Ibaraki.

Neurologia Medico-Chirurgica
|January 1, 1995
PubMed
Summary

A rare enterogenous cyst in the fourth ventricle caused repeated ventriculoperitoneal shunt malfunction in a 53-year-old male. Surgical removal of the cyst resolved the shunt issues, indicating its role in the malfunction.

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Area of Science:

  • Neuroscience
  • Surgical Pathology
  • Medical Device Engineering

Background:

  • Enterogenous cysts are rare congenital malformations that can occur in various locations within the central nervous system.
  • Ventriculoperitoneal shunts are commonly used to treat hydrocephalus but are prone to malfunction.

Observation:

  • A 53-year-old male presented with recurrent ventriculoperitoneal shunt failure.
  • Imaging revealed a cyst in the fourth ventricle.
  • The cyst's viscous contents were suspected to be the cause of shunt malfunction.

Findings:

  • Surgical excision of the fourth ventricle cyst was performed.
  • Electron microscopy of the cyst wall showed features consistent with an endodermal origin, including microvilli and basement membrane.

Related Experiment Videos

  • The cyst's gelatinous content was identified as a likely cause of the shunt malfunction.

    • Implications:

    • This case highlights the importance of considering rare cystic lesions as a cause of ventriculoperitoneal shunt failure.
    • Surgical management of the cyst can effectively resolve associated shunt problems.
    • Understanding the cyst's composition is crucial for managing complications and preventing recurrence.