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성인에서 발생한 고립성 4뇌실수두증 - 5례의 임상적 진단 및 치료 -

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Author(s)
서인엽김동원이창영이장철손은익임만빈김인홍In Yeop SeoDong Won KimChang Young LeeChang Chul LeeEun Ik SonMan Bin YimIn Hong Kim
Keimyung Author(s)
Kim, Dong WonLee, Chang YoungLee, Jang ChullSon, Eun IkYim, Man BinKim, In Hong
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
대한신경외과학회지
Issued Date
1998
Volume
27
Issue
12
Abstract
Isolated fourth(IV) ventricle in shunted patients has been reported with increasing frequency. Symptomatic isolated IV ventricular hydrocephalus in adults, however, has seldom been described. We report five such cases among total of 420 shunted cases in our institution from January 1992 to December 1995.
The causes of initial hydrocephalus were postsurgical meningitis(SAH, teratoma and abscess of posterior fossa), tuberculous meningitis and neurocysticercosis of the IV ventricle. All cases were symptomatic with clinical findings related to posterior fossa lesions. Two patients developd symptoms in 2 months after V-P shunts and the others between 17 and 118 months after V-P shunts. These 5 patients required IV ventricular shunting. All patients improve postoperatively except one patient who developed 6th nerve palsy related to secondary irritation of the brainstem by the IV ventricular catheter.
Inflammatory changes in the ependyma of both aqueduct of Sylvius, foramina Luschka and Magendi have been regarded as the most important factors in the development of the isolation of IV ventricle, especially in adults. It is generally recommended to shunt in cases of the adult symptomatic isolated IV ventricle. Alternative surgical techniques and prevention of such complications are discussed.
Alternative Title
Symptomatic Isolated IV Ventricular Hydrocephalus in Adults
- Clinical Diagnosis and Management of Five Cases -
Keimyung Author(s)(Kor)
김동원
이창영
이장철
손은익
임만빈
김인홍
Publisher
School of Medicine
Citation
서인엽 et al. (1998). 성인에서 발생한 고립성 4뇌실수두증
- 5례의 임상적 진단 및 치료 -. 대한신경외과학회지, 27(12), 1653–1658.
Type
Article
ISSN
1225-8245
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39093
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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