ArticleFrontiers in medicine2025
Individualized retrograde endoscopic transoccipital-fourth ventricular-midbrain aqueduct to third and lateral ventriculoperitoneal shunt for complex multilocular hydrocephalus with isolated fourth ventricle: a case report.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Hydrocephalus is a condition frequently encountered in neurosurgery. An isolated fourth ventricle represents one of the most challenging forms of hydrocephalus. Currently, there are few clinically mature single-session surgical solutions available for the treatment of complex hydrocephalus with an isolated fourth ventricle that exhibits both obstructive and communicating features. Herein, we report a case of complex hydrocephalus with an isolated fourth ventricle treated with an endoscopic transmesencephalic aqueduct retrograde shunt. The patient recovered well postoperatively, with significant improvement in hydrocephalus symptoms. Based on a thorough analysis of the etiology, we suggest that shunt surgery using an endoscopic transoccipital-fourth ventricle-midbrain aqueduct-third ventricle-lateral ventricle retrograde approach can be applied to patients with complex hydrocephalus, using an individualized plan. The successful treatment in our case provides a reference for the management of patients with complex hydrocephalus and an isolated fourth ventricle.
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