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Azzi C, Giaconia MB, Lacalm A, Massoud M, Gaucherand P, Guibaud L. Dilatation of the supra-pineal recess on prenatal imaging: early clue for obstructive ventriculomegaly downstream of the third ventricle. Prenat Diagn 2014; 34:394-401. [DOI: 10.1002/pd.4323] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2013] [Revised: 01/06/2014] [Accepted: 01/06/2014] [Indexed: 11/06/2022]
Affiliation(s)
- Caroline Azzi
- Centre Pluridisciplinaire de Diagnostic Prénatal; Hopital Femme Mère Enfant; Lyon-Bron France
| | - Marie-Brune Giaconia
- Département d'Imagerie Pédiatrique et Foetale; Hopital Femme Mère Enfant; Lyon-Bron France
| | - Audrey Lacalm
- Département d'Imagerie Pédiatrique et Foetale; Hopital Femme Mère Enfant; Lyon-Bron France
| | - Mona Massoud
- Centre Pluridisciplinaire de Diagnostic Prénatal; Hopital Femme Mère Enfant; Lyon-Bron France
| | - Pascal Gaucherand
- Centre Pluridisciplinaire de Diagnostic Prénatal; Hopital Femme Mère Enfant; Lyon-Bron France
| | - Laurent Guibaud
- Centre Pluridisciplinaire de Diagnostic Prénatal; Hopital Femme Mère Enfant; Lyon-Bron France
- Département d'Imagerie Pédiatrique et Foetale; Hopital Femme Mère Enfant; Lyon-Bron France
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Abstract
✓ This 30-year-old woman presented with clinical symptoms and signs of intracranial hypertension and Parinaud syndrome secondary to ventriculoperitoneal shunt dysfunction. Magnetic resonance (MR) imaging revealed gross triventricular hydrocephalus with a large suprapineal recess due to aqueductal stenosis. Using an endoscopic approach, a ventriculostomy was performed within the floor of the dilated suprapineal recess. Following this procedure the patient experienced alleviation of all her neurological symptoms and signs. Postoperative MR imaging and cerebrospinal fluid flow studies demonstrated a functioning ventriculostomy. The anatomy of the suprapineal recess and its suitability for endoscopic ventriculostomy are discussed.
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Affiliation(s)
- Roy Thomas Daniel
- Department of Neurosurgery, Royal Adelaide South Hospital, Adelaide, Australia.
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