Treatment of Hydrocephalus Associated with Neurosarcoidosis by Multiple Shunt Placement

被引：9

作者：

Kim, Sung Hoon ^{[1
]}

Lee, Sang Weon ^{[1
]}

Sung, Soon Ki ^{[1
]}

Son, Dong Wuk ^{[1
]}

机构：

[1] Pusan Natl Univ, Yangsan Hosp, Sch Med, Dept Neurosurg, Yangsan 626770, South Korea

来源：

JOURNAL OF KOREAN NEUROSURGICAL SOCIETY | 2012年 / 52卷 / 03期

关键词：

Neurosarcoidosis; Hydrocephalus; Ventriculoperitoneal shunt; ISOLATED; 4TH-VENTRICLE; 4TH VENTRICLE; SARCOIDOSIS; MANAGEMENT; STENT;

D O I：

10.3340/jkns.2012.52.3.270

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 31-year-old man was admitted to our hospital due to hydrocephalus with neurosarcoidosis. Ventriculo-peritoneal shunting was performed in the right lateral ventricle with intravenous methylprednisolone. Subsequently, after 4 months, additional ventriculo-peritoneal shunting in the left lateral ventricle was performed due to the enlarged left lateral ventricle and slit-like right lateral ventricle. After 6 months, he was re-admitted due to upward gaze palsy, and magnetic resonance image showed an isolated fourth ventricle with both the inlet and outlet of fourth ventricle obstructed by recurrent neurosarcoidosis. Owing to the difficulty of using an endoscope, we performed neuronavigator-guided ventriculo-peritoneal shunting via the left lateral transcerebellar approach for the treatment of the isolated fourth ventricle with intravenous methyl prednisolone. The patient was discharged with improved neurological status.

引用

页码：270 / 272

页数：3

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