ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2012
Contrast ventriculo-cisternography: an auxiliary test for suspected fourth ventricular outlet obstruction.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 20 citations in OpenAlex.
- Article
- The prepontine block and its relevance for the development and treatment of hydrocephalus.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- The endoscopic treatment of fourth ventricle outlet obstruction: Report of two children and systematic review.Clinical case reports · 2023Article
- Tetraventricular noncommunicating hydrocephalus: Case report and literature review.Surgical neurology international · 2021Review
- Management of multiloculated hydrocephalus in children with emphasis on role of CT ventriculography.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Article
- Idiopathic fourth ventricle outlet obstruction successfully treated by endoscopic third ventriculostomy: a case report.SpringerPlus · 2015Article
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Authors and funding
4 authors at 3 institutions in 3 countries.
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Abstract
purposeFourth ventricular outlet obstruction (FVOO) causes obstructive hydrocephalus. Often, despite high-quality MRI sequences, differentiation between FVOO and communicating (absorptive) hydrocephalus is not easy. We describe our initial experience with five children with suspected FVOO that underwent CT ventriculography (CTV) or cisternography (CTC), to assist with this difficult diagnosis.
methodsOver 2.5 years, five children with suspected FVOO (5 months-7.5 years old) underwent CTV or CTC. Technical and clinical data were retrospectively collected.
resultsFour children had progressive macrocephaly, and one child had progressive ventriculomegaly. On CTV/CTC, four of five children showed communication between the ventricular system and spinal subarachnoid space or prepontine cistern, as evidenced by passage of contrast material. One child had a FVOO and therefore underwent an endoscopic third ventriculostomy, and is since, symptom and shunt free for 2.5 years.
conclusionCT ventriculography in infants, and CT cisternography in elder children, may assist to differentiate between FVOO and communicating hydrocephalus. The importance of these tests is for children with MRI suggestive of FVOO related hydrocephalus, but with no clear demonstration of the obstruction site. The implication of this differentiation may be for deciding between treatment of hydrocephalus with a ventriculoperitoneal shunt or with an endoscopic third ventriculostomy.
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