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CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(02): 503-506
DOI: 10.4103/1793-5482.228533
Case Report

Endoscopic management of a fourth ventricular cyst

Saba Jafarpour
1   Department of Neurology, Boston Children's Hospital, Boston, MA, USA
2   Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
,
Morteza Jouibari
3   Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran
,
Leila Aghaghazvini
4   Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran
,
Vafa Rahimi-Movaghar
2   Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
3   Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran
5   Research Centre for Neural Repair, University of Tehran, Tehran
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We report a case of a 12-year-old boy with previously shunted congenital hydrocephalus, presenting with a progressive headache, nausea, vomiting, and lethargy. In the brain magnetic resonance imaging, a large cyst was seen in the superior recess of the fourth ventricle extending through the cerebral aqueduct toward the third ventricle. Endoscopic dual fenestration of the cyst was performed successfully using the posterior suboccipital approach through the foramen of Magendie, which resulted in the relief of symptoms without any complications, and the patient was symptom-free in the subsequent follow-up visits for 4 years.

Key-words:

Cerebral aqueduct - cyst - endoscopy - hydrocephalus - raised intracranial pressure - ventricle


Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. 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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