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DOI: 10.1055/s-0044-1788037
Late Presentation of Congenital Aqueduct Stenosis in Adulthood with High-Riding Basilar Artery: Case Report
Autor*innen
Abstract
Background A rare variant of congenital aqueductal stenosis (CAS) is known as adult-onset CAS, characterized by the emergence of symptoms during adulthood.
Case Description A 35-year-old man presented complaining of acute-onset headache and vomiting. Magnetic resonance imaging of the brain revealed an acute hydrocephalus due to an aqueductal web. The patient was treated with a ventriculoperitoneal shunt and doing well. His condition was complicated by subdural hematoma as a result of overshunting, which was treated by frontoparietal craniotomy and eventually, he underwent valve revision to a programmable valve.
Conclusion Additional research is needed to gain a deeper understanding of the hypothesis related to adult aqueductal stenosis. This will help shed light on the asymptomatic childhood phase and potentially reduce complications by identifying late CAS early.
Publikationsverlauf
Eingereicht: 06. März 2024
Angenommen: 05. Juni 2024
Artikel online veröffentlicht:
20. Januar 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Spennato P, Cinalli G, Cianciulli E, D'Armiento M. Aqueductal stenosis and hydrocephalus. In: Pediatric Hydrocephalus. 2nd ed. Vol. 2. 2018: 933-962
- 2 Rodis I, Mahr CV, Fehrenbach MK. et al. Hydrocephalus in aqueductal stenosis–a retrospective outcome analysis and proposal of subtype classification. Childs Nerv Syst 2016; 32 (04) 617-627
- 3 Naureen I, Saleem A, Ghafoor M. et al. Genetics of hydrocephalus (HC). East African Scholars Multidisciplinary Bulletin 2022; 5 (09) 176-184
- 4 Verhagen WI, Bartels RH, Fransen E, van Camp G, Renier WO, Grotenhuis JA. Familial congenital hydrocephalus and aqueduct stenosis with probably autosomal dominant inheritance and variable expression. J Neurol Sci 1998; 158 (01) 101-105
- 5 Harrison MJG, Robert CM, Uttley D. Benign aqueduct stenosis in adults. J Neurol Neurosurg Psychiatry 1974; 37 (12) 1322-1328
- 6 Brar KS, Sharma AK, Nathan A, Nathan A. A rare case of congenital aqueductal stenosis. Med J Armed Forces India 2013; 69 (02) 181-183
- 7 Little JR, Houser OW, MacCarty CS. Clinical manifestations of aqueductal stenosis in adults. J Neurosurg 1975; 43 (05) 546-552
- 8 Tisell M. How should primary aqueductal stenosis in adults be treated? A review. Acta Neurol Scand 2005; 111 (03) 145-153
- 9 Tisell M, Tullberg M, Hellström P, Blomsterwall E, Wikkelsø C. Neurological symptoms and signs in adult aqueductal stenosis. Acta Neurol Scand 2003; 107 (05) 311-317
- 10 Muzumdar D, Nadkarni T, Goel A. Spontaneous cerebrospinal fluid rhinorrhea as a presenting symptom of aqueductal stenosis–case report. Neurol Med Chir (Tokyo) 2003; 43 (12) 626-629
- 11 Fukuhara T, Luciano MG. Clinical features of late-onset idiopathic aqueductal stenosis. Surg Neurol 2001; 55 (03) 132-136 , discussion 136–137
- 12 Iacob G. Active hydrocephalus due to aqueductal stenosis in an elderly woman. Rom Neurosurg 2021; ;(September): 251-256
- 13 Bradley WG, Abdihalim M, Almutairi A. Adult onset aqueductal stenosis may become symptomatic due to deep white matter ischemia. Fluids Barriers CNS 2015; 12 (01) O26
- 14 Algin O, Hakyemez B, Parlak M. Phase-contrast MRI and 3D-CISS versus contrast-enhanced MR cisternography on the evaluation of the aqueductal stenosis. Neuroradiology 2010; 52 (02) 99-108
- 15 Algin O, Turkbey B. Evaluation of aqueductal stenosis by 3D sampling perfection with application-optimized contrasts using different flip angle evolutions sequence: preliminary results with 3T MR imaging. AJNR Am J Neuroradiol 2012; 33 (04) 740-746
- 16 Saxena AK, Sodhi KS, Khandelwal N. Heavily T2W 3D-SPACE images for evaluation of cerebrospinal fluid containing spaces dear. Indian J Radiol Imaging 2012; 22 (01) 74
- 17 Mohammed H, Elsatar AEA, Ragab M, Alghriany A. Evaluation of late onset congenital aqueductal stenosis hydrocephalus. J Neurol Stroke 2016; 5 (01) 2-7
- 18 Lynch DG, Mehta SH, Shah KA, Toscano D, Pruitt R, Woo HH. Endoscopic third ventriculostomy using Penumbra Artemis™ neuro evacuation device: technical case report and operative video. Cureus 2023; 15 (09) e45761
- 19 Kumar S, Sahana D, Rathore L. et al. Extra-axial endoscopic third ventriculostomy: preliminary experience with a technique to circumvent conventional endoscopic third ventriculostomy complications. J Neurosurg 2022; 138 (02) 503-513
- 20 Xie JS, Donaldson L, Margolin E. Papilledema: a review of etiology, pathophysiology, diagnosis, and management. Surv Ophthalmol 2022; 67 (04) 1135-1159
- 21 Sternbach GL. Subdural hematoma in a shunted patient. J Emerg Med 2005; 29 (04) 483-484