Journal
JOURNAL OF NEUROSURGERY
Volume 111, Issue 3, Pages 628-631Publisher
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/2008.5.JNS08286
Keywords
endoscopy; resistance to cerebrospinal fluid outflow; spontaneous third ventriculostomy
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Chronic obstructive hydrocephalus is known to cause ventricular diverticula and, rarely, spontaneous ventriculostomy. The authors present the case of a patient in whom a spontaneous third ventriculostomy was identified with long-standing hydrocephalus secondary to aqueductal stenosis. To their knowledge, this is the first report in which a spontaneous stoma in the floor of the third ventricle was evaluated using endoscopy and cerebrospinal fluid dynamics studies. Both studies confirmed that the spontaneous stoma is similar in structure and function to surgical third ventriculostomy. (DOI: 10.3171/2008.5.JNS08286)
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