Endoscopic ventriculo-cisterno-ventricular approach in the treatment of bilateral trapped temporal horn related to fungal infection in a child: case report and review of the literature

Abstract

Endoscopic ventriculocisternostomy is effective in selected cases of TTH. We know that dilatation of the temporal horn widens the window between the anterior choroidal artery and optic tract superiorly, and the posterior communicating and CN III inferiorly, making the described procedure feasible, even in the approach to the contralateral side. Even though this is a rare condition, we believe it is a safe and effective option to eliminate multiple shunts and/or to reduce the number of catheters needed to treat bilateral THH related to multi-septated hydrocephalus.

Entrapment of the temporal horn secondary to postoperative gamma-knife radiosurgery in intraventricular meningioma: A case report

“…There are many methods to manage ETH, including V-P shunt[2], endoscopic temporal ventriculocisternostomy[11,12], frontal-to-temporal horn shunt[13], and temporal horn to prepontine cistern shunt[14]. In this case, resection of residual tumor was performed, and the patient recovered smoothly thereafter.…”

Case Report: Cerebral Phaeohyphomycosis Due to Chaetomium strumarium in a Child with Visceral Heterotaxy Syndrome

“…A previous study of multiple brain abscesses in Mexico describes a child with cotton-like colonies; however, culture samples were negative. 11 A previous report from Guarner and Brandt 12 described that phaeohyphomycosis can display yeast-like elements in some tissues. These characteristics make it difficult to identify the fungus due to the lack of reproductive structures.…”

“…12 No species-specific antifungal susceptibility testing standards exist for this organism; however, the European Society of Clinical Microbiology and Infectious Diseases guidelines for the reference microdilution methodology can be used. 11 Chaetomium perlucidum have low minimun inhibitory concentrations of amphotericin B, itraconazole, voriconazole, and posaconazole, but high MICs of caspofungin. Chaetomium globosum showed a varied susceptibility profile to amphotericin B, while voriconazole exhibited good activity.…”