Ventriculocystostomy and endoscopic third ventriculostomy/shunt placement in the management of hydrocephalus secondary to giant retrocerebellar cysts in infancy

Report of 3 cases

James A. J. King M.B.B.S., Ph. D., F.R.A.C.S.1, Kurtis I. Auguste M.D.2, William Halliday M.D., F.R.C.P.C.3, James M. Drake M.B.B.Ch., M.Sc., F.R.C.S.C.4, and Abhaya V. Kulkarni M.D., Ph.D., F.R.C.S.C.4
View More View Less
  • 1 Department of Neurosurgery, The Royal Melbourne Hospital, Melbourne, Australia;
  • | 2 Department of Neurosurgery, Children's Hospital, University of California, San Francisco, and Children's Hospital, Oakland, California; and
  • | 3 Divisions of Pathology and
  • | 4 Neurosurgery, The Hospital for Sick Children, University of Toronto, Canada
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00
Print or Print + Online

Hydrocephalus secondary to giant retrocerebellar cysts in infancy is a challenging condition and many treatment options exist. The authors report on 3 consecutive cases involving infants under the age of 6 months treated successfully with ventriculocystostomy in combination with direct hydrocephalus treatment (endoscopic third ventriculostomy or shunt placement). They describe the operative procedure, the surgical morbidity, and outcome in each case and review the literature regarding surgical approaches to this condition.

Abbreviations used in this paper:

ETV = endoscopic third ventriculostomy; FIESTA = fast imaging employing steady-state acquisition; VP = ventriculoperitoneal.

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $505.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $600.00

Contributor Notes

Address correspondence to: Abhaya V. Kulkarni, M.D., Division of Neurosurgery, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada M5G 1X8. email: abhaya.kulkarni@sickkids.ca.
  • 1

    Asai A, , Hoffman HJ, , Hendrick EB, & Humphreys RP: Dandy-Walker syndrome: experience at the Hospital for Sick Children, Toronto. Pediatr Neurosci 15:6673, 1989

    • Search Google Scholar
    • Export Citation
  • 2

    Barkovich AJ, , Kjos BO, , Norman D, & Edwards MS: Revised classification of posterior fossa cysts and cystlike malformations based on the results of multiplanar MR imaging. AJR Am J Roentgenol 153:12891300, 1989

    • Search Google Scholar
    • Export Citation
  • 3

    Brocklehurst G: The development of the human cerebrospinal fluid pathway with particular reference to the roof of the fourth ventricle. J Anat 105:467475, 1969

    • Search Google Scholar
    • Export Citation
  • 4

    Calabrò F, , Arcuri T, & Jinkins JR: Blake's pouch cyst: an entity within the Dandy-Walker continuum. Neuroradiology 42:290295, 2000

  • 5

    Ciricillo SF, , Cogen PH, , Harsh GR, & Edwards MS: Intracranial arachnoid cysts in children. A comparison of the effects of fenestration and shunting. J Neurosurg 74:230235, 1991

    • Search Google Scholar
    • Export Citation
  • 6

    Dandy WE, & Blackfan KD: Internal hydrocephalus: an experimental, clinical, and pathological study. Am J Dis Child 8:406482, 1914

  • 7

    Erdinçler P, , Kaynar MY, , Bozkus H, & Ciplak N: Posterior fossa arachnoid cysts. Br J Neurosurg 13:1017, 1999

  • 8

    Gangemi M, , Maiuri F, , Colella G, & Sardo L: Endoscopic surgery for large posterior fossa arachnoid cysts. Minim Invasive Neurosurg 44:2124, 2001

    • Search Google Scholar
    • Export Citation
  • 9

    Harwood-Nash DC, & Fitz CR: Neuroradiology in Infants and Children St. Louis, MO, Mosby, 1976

  • 10

    Kaplan BJ, , Mickle JP, & Parkhurst R: Cystoperitoneal shunting for congenital arachnoid cysts. Childs Brain 11:304311, 1984

  • 11

    Marin-Sanabria EA, , Yamamoto H, , Nagashima T, & Kohmura E: Evaluation of the management of arachnoid cyst of the posterior fossa in pediatric population: experience over 27 years. Childs Nerv Syst 23:535542, 2007

    • Search Google Scholar
    • Export Citation
  • 12

    Mohanty A, , Biswas A, , Satish S, , Praharaj SS, & Sastry KV: Treatment options for Dandy-Walker malformation. J Neurosurg 105:5 Suppl 348356, 2006

    • Search Google Scholar
    • Export Citation
  • 13

    Naidich TP, , McLone DG, & Radkowski MA: Intracranial arachnoid cysts. Pediatr Neurosci 12:112122, 1985–1986

  • 14

    Nelson MD Jr, , Maher K, & Gilles FH: A different approach to cysts of the posterior fossa. Pediatr Radiol 34:720732, 2004

  • 15

    Raffel C, & McComb JG: To shunt or to fenestrate: which is the best surgical treatment for arachnoid cysts in pediatric patients?. Neurosurgery 23:338342, 1988

    • Search Google Scholar
    • Export Citation
  • 16

    Strand RD, , Barnes PD, , Poussaint TY, , Estroff JA, & Burrows PE: Cystic retrocerebellar malformations: unification of the Dandy-Walker complex and the Blake's pouch cyst. Pediatr Radiol 23:258260, 1993

    • Search Google Scholar
    • Export Citation
  • 17

    Taggert JK Jr, & Walker AE: Congenital atresia of the foramens of Luschka and Magendie. Arch Neurol Psychiatry 48:583612, 1942

  • 18

    Tortori-Donati P, , Fondelli MP, , Rossi A, & Carini S: Cystic malformations of the posterior cranial fossa originating from a defect of the posterior membranous area. Mega cisterna magna and persisting Blake's pouch: two separate entities. Childs Nerv Syst 12:303308, 1996

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 458 89 5
Full Text Views 98 16 1
PDF Downloads 130 13 2
EPUB Downloads 0 0 0