Spontaneous cerebral ventriculostium: two cases

Kanjilal, G. C.

doi:10.1136/jnnp.35.5.676

Cited by 15 publications

(5 citation statements)

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“…Diverticula in themselves produce neurological symptoms and signs because of their situations and size. They also produce unusual pictures at ventriculography (Sweet 1940, Childe and McNaughton 1942, Dyke 1942, Pennybacker and Russell 1943, MacFarlane and Falconer 1947, Torkildsen 1948, Tandon and Harkmark 1959, Perryman and Pendergrass 1948, Leslie and Alker 1964, Lavender and Du Boulay 1965, Granholm and R~dberg 1965, Kanjilal 1972, Zilkha 1974.…”

Section: Discussionmentioning

confidence: 95%

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Spontaneous rupture of the third ventricle in obstructive hydrocephalus: A radiographic diagnosis

1977

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Section: Discussionmentioning

confidence: 95%

“…A radiographic diagnosis of spontaneous rupture is decidely rare, and to the best of our knowledge only seven cases have been reported to date (Tandon and Harkmark 1959, Leslie and Alker 1964, Carella 1968, Kanjilal 1972, Zilkha 1974. We report two such cases diagnosed during Conray ventriculography.…”

Section: Introductionmentioning

confidence: 93%

Spontaneous rupture of the third ventricle in obstructive hydrocephalus: A radiographic diagnosis

1977

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“…21 All reported cases of STVs have been in the context of obstructive hydrocephalus and are thought to be associated with chronic increased ICP. 21,29,[32][33][34][35][36][37][38][39][40][41][42][43] The associated chronic increase in ICP leads to CSF pulsations pushing against the floor of the third ventricle, causing thinning and eventual rupture of the floor, thus relieving the increased ICP by CSF diversion into the subarachnoid space. 40,41 Although none of the 75 patients in our cohort demonstrated evidence of CSF flow obstruction, the 12 patients with STV were found to have a statistically significant increase in head circumference and ventricular volume in keeping with the diagnosis of hydrocephalus and increased ICP.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Third Ventriculostomy in Krabbe Disease

Zuccoli

Kim

Poe

et al. 2020

Pediatric Neurology

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a b s t r a c tIntroduction: Spontaneous third ventriculostomies have been reported in relation to obstructive hydrocephalus and increased intracranial pressure and are most commonly seen as disruption of the floor of the third ventricle. Hydrocephalus has been reported in patients with Krabbe disease; however, it is clinically difficult to monitor for hydrocephalus in patients with Krabbe disease as symptoms of increased intracranial pressure may overlap with symptoms of Krabbe disease. We describe a case series of spontaneous third ventriculostomy and hydrocephalus, likely in response to increased intracranial pressure, in patients with infantile Krabbe disease. Methods: Brain magnetic resonance images of patients with infantile Krabbe disease were retrospectively analyzed to assess for ventricular size and presence of spontaneous third ventriculostomies. A brain atlas was used to standardize the calculation of ventricular size. Mid-sagittal, T2-weighted images around the third ventricle were assessed for spontaneous third ventriculostomies. Developmental outcomes were measured with a series of standardized and validated tests. Results: Seventy-five patients with infantile Krabbe disease were evaluated. Twelve cases of spontaneous third ventriculostomies were identified. Head circumference (SE ¼ 8.07; P < 0.001) and average ventricular volume were greater (left: SE ¼ 1.47, P < 0.001) in patients with spontaneous third ventriculostomies when compared with patients without spontaneous third ventriculostomies. Patients with spontaneous third ventriculostomies also had more delayed development in adaptive (difference ¼ 0.2, P < 0.01), gross motor (difference ¼ 0.0, P < 0.01), and fine motor (difference ¼ 0.1, P < 0.001) function. Conclusions: Spontaneous third ventriculostomies, likely in the context of increased intracranial pressure, were identified in patients with Krabbe disease. Although difficult to assess, our study highlights the importance of monitoring for increased intracranial pressure, which can result in spontaneous third ventriculostomies, in patients with infantile Krabbe disease.

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“…Six cases have been reported (Kanjilal, 1972) of spontaneous rupture of diverticula into the subarachnoid space, affording 'nature's cure'. It seems likely that this occurs more frequently than is recorded, and may account for some of the spontaneous remissions of hydrocephalus seen in infants.…”

Section: Discussionmentioning

confidence: 99%