Alberto Feletti1, Stavros Dimitriadis2, Giacomo Pavesi2. 1. Department of Neurosurgery, NOCSAE Hospital of Modena, Modena, Italy. Electronic address: a.feletti@ausl.mo.it. 2. Department of Neurosurgery, NOCSAE Hospital of Modena, Modena, Italy.
Abstract
BACKGROUND: Among the rare intraventricular cavernomas, purely intra-aqueductal cavernomas are exceptionally rare. CASE DESCRIPTION: A 62-year-old patient presented with progressive headache, memory loss, gait instability, and urinary incontinence. Magnetic resonance imaging showed the presence of a mass lesion located in the lumen of the cerebral aqueduct, associated with triventricular hydrocephalus. CONCLUSIONS: We discuss the rationale that led us to treat hydrocephalus with neuroendoscopy, which offered the possibility to directly inspect the intra-aqueductal lesion, make the diagnosis of cavernoma, and treat symptoms resulting from hydrocephalus without increasing the risk of bleeding.
BACKGROUND: Among the rare intraventricular cavernomas, purely intra-aqueductal cavernomas are exceptionally rare. CASE DESCRIPTION: A 62-year-old patient presented with progressive headache, memory loss, gait instability, and urinary incontinence. Magnetic resonance imaging showed the presence of a mass lesion located in the lumen of the cerebral aqueduct, associated with triventricular hydrocephalus. CONCLUSIONS: We discuss the rationale that led us to treat hydrocephalus with neuroendoscopy, which offered the possibility to directly inspect the intra-aqueductal lesion, make the diagnosis of cavernoma, and treat symptoms resulting from hydrocephalus without increasing the risk of bleeding.
Authors: Luis Alberto Ortega-Porcayo; Alexander Perdomo-Pantoja; Isaac Jair Palacios-Ortíz; Salomon Cohen Cohen; Juan Pablo González-Mosqueda; Juan Luis Gómez-Amador Journal: Surg Neurol Int Date: 2017-09-26