Endoscopic Third Ventriculostomy and Aqueductal Stenosis

Authors

  • Angelo Raimundo da Silva Neto
  • Thomas Di Nardi Medeiros
  • Hugo Leandro Andrade Paiva
  • Leoberto Batista Pereira Sobrinho
  • Tulio Dias Duarte Sales
  • Eric Cymon do Vale Bezerra

Keywords:

Neuroendoscopy, Hydrocephalus, Aqueductal Stenosis

Abstract

A 15 years-old male patient presented with a progressive headache for the last six months, followed by diplopia and dizziness.  Two months after he developed urinary incontinence. Neurological exam revealed an  ataxic gait, horizontal nystagmus, and hyperreflexia in all members. Magnetic Resonance imaging suggest obstructive hydrocephalus with third and laterals ventricles dilatation, associated with aqueductual stenosis. The patient was submitted to endoscopic third ventriculostomy, where was observed an accentuated depression on tuber cinereum and Mammillary bodies, caused by the hydrocephalus chronicity. The procedure was done without complications and results in total reversion of ataxia and urinary incontinence.

Author Biographies

Angelo Raimundo da Silva Neto

Department of Integrated Medicine, Federal University of Rio Grande do Norte, Hospital Universitário Onofre Lopes,  Natal, Brazil

Thomas Di Nardi Medeiros

Multicampi School of Medical Sciences, Federal University of Rio Grande do Norte, Caicó, Brazil

Hugo Leandro Andrade Paiva

Multicampi School of Medical Sciences, Federal University of Rio Grande do Norte, Caicó, Brazil

Leoberto Batista Pereira Sobrinho

Multicampi School of Medical Sciences, Federal University of Rio Grande do Norte, Caicó, Brazil

Tulio Dias Duarte Sales

Multicampi School of Medical Sciences, Federal University of Rio Grande do Norte, Caicó, Brazil

Eric Cymon do Vale Bezerra

Multicampi School of Medical Sciences, Federal University of Rio Grande do Norte, Caicó, Brazil

Published

2020-04-01