Endoscopic transaqueductal placement of a single-catheter cyst-ventriculoperitoneal shunt in a neonate with Dandy-Walker malformation-associated hydrocephalus: case report.

Abstract

A neonate with hydrocephalus associated with Dandy-Walker malformation was successfully treated with an endoscopic placement of a transaqueductal ventricular single catheter. The modified catheter was provided with additional fenestration on its proximal side to allow simultaneous drainage from both the supra- and infratentorial compartments. This technique is well known for isolated fourth ventricles, but has not been applied to hydrocephalus associated with Dandy-Walker malformation. The cyst-ventriculoperitoneal shunt effectively drained both compartments. The patient was doing well 18 months after the surgical procedure. Endoscopic transaqueductal shunt placement can be considered, especially in patients with aqueductal patency.

• Authors: Ryoma Morigaki, Kyong-Hon Pooh, Yoshinobu Nakagawa
• Journal: Neurologia medico-chirurgica (Neurol Med Chir (Tokyo)) Vol. 51 Issue 3 Pg. 256-9 ( 2011) ISSN: 1349-8029 [Electronic] Japan
• PMID: 21441750 (Publication Type: Case Reports, Journal Article)

Topics

• Catheters, Indwelling
• Cerebral Aqueduct
• Dandy-Walker Syndrome (complications, surgery)
• Humans
• Hydrocephalus (complications, surgery)
• Infant
• Infant, Newborn
• Male
• Neuroendoscopy (methods)
• Treatment Outcome
• Ventriculoperitoneal Shunt (instrumentation, methods)
• Ventriculostomy (methods)