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Case Report

Syringomyelia Regression after Shunting of a Trapped Fourth Ventricle

by
Dukagjin Morina
,
Athanasios K. Petridis
*,
Friedericke S. Fritzsche
,
Georgios Ntoulias
and
Martin Scholz
Department of Neurosurgery, Wedau Kliniken Duisburg, Germany
*
Author to whom correspondence should be addressed.
Clin. Pract. 2013, 3(1), e1; https://doi.org/10.4081/cp.2013.e1
Submission received: 6 September 2012 / Revised: 14 November 2012 / Accepted: 6 December 2012 / Published: 25 January 2013

Abstract

We describe a case of progressive syringomyelia following post-infectious trapped fourth ventricle (TFV), which resolved after shunting of the fourth ventricle. A 28-year-old female who had previously undergone treatment of intracerebral hemorrhage and meningitis developed a hydrocephalus with TFV. After 3 years she developed disturbance of walking and coordination. Cranial-CT revealed an enlargement of the shunted fourth ventricle as a result of shunt dysfunction. Furthermore a cervical syringomyelia developed. The patient underwent a revision of a failed fourth ventriculo- peritoneal shunt. Postoperatively, syringomyelia resolved within 6 months and the associated neurological deficits improved significantly. An insufficiency of cerebrospinal fluid draining among patients with TFV can be associated with communicating syringomyelia. An early detection and treatment seems important on resolving syringomyelia and avoiding permanent neurological deficits. Ventriculo-peritoneal shunt in trapped fourth ventricles can resolve a secondary syringomyelia.
Keywords: trapped fourth ventricle; syringomyelia trapped fourth ventricle; syringomyelia

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MDPI and ACS Style

Morina, D.; Petridis, A.K.; Fritzsche, F.S.; Ntoulias, G.; Scholz, M. Syringomyelia Regression after Shunting of a Trapped Fourth Ventricle. Clin. Pract. 2013, 3, e1. https://doi.org/10.4081/cp.2013.e1

AMA Style

Morina D, Petridis AK, Fritzsche FS, Ntoulias G, Scholz M. Syringomyelia Regression after Shunting of a Trapped Fourth Ventricle. Clinics and Practice. 2013; 3(1):e1. https://doi.org/10.4081/cp.2013.e1

Chicago/Turabian Style

Morina, Dukagjin, Athanasios K. Petridis, Friedericke S. Fritzsche, Georgios Ntoulias, and Martin Scholz. 2013. "Syringomyelia Regression after Shunting of a Trapped Fourth Ventricle" Clinics and Practice 3, no. 1: e1. https://doi.org/10.4081/cp.2013.e1

APA Style

Morina, D., Petridis, A. K., Fritzsche, F. S., Ntoulias, G., & Scholz, M. (2013). Syringomyelia Regression after Shunting of a Trapped Fourth Ventricle. Clinics and Practice, 3(1), e1. https://doi.org/10.4081/cp.2013.e1

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