2014
DOI: 10.1136/bcr-2014-203837
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‘Trapped temporal horn’ of lateral ventricle in tuberculous meningitis

Abstract: SUMMARYA young girl presented with a 1-month history of constitutional symptoms, headache and vomiting and 7-day history of left hemiparesis. Neuroimaging showed the 'trapped temporal horn' sign, suggestive of focal obstructive hydrocephalus at the foramen of Monro. Analysis of the cerebrospinal fluid and other investigations revealed a tubercular aetiology. The patient was managed with a ventriculoperitoneal shunt and antitubercular medications. BACKGROUND

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Cited by 11 publications
(8 citation statements)
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“…Temporal horn entrapment might be a radiological finding, or it might present as a combination of contralateral homonymous hemianopia, contralateral hemiparesis, memory loss, and symptoms of raised ICP. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] The presence of these symptoms precludes an observational attitude, and compels one to seek a rapid solution. Different options are available to divert the CSF away from the temporal horn, like shunting it to the frontal horn or to the peritoneal cavity.…”
Section: Discussionmentioning
confidence: 99%
“…Temporal horn entrapment might be a radiological finding, or it might present as a combination of contralateral homonymous hemianopia, contralateral hemiparesis, memory loss, and symptoms of raised ICP. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] The presence of these symptoms precludes an observational attitude, and compels one to seek a rapid solution. Different options are available to divert the CSF away from the temporal horn, like shunting it to the frontal horn or to the peritoneal cavity.…”
Section: Discussionmentioning
confidence: 99%
“…Entrapment of the temporal horn of the lateral ventricle is a well-described entity 16. This is especially seen as a complication of tuberculous meningitis.…”
Section: Discussionmentioning
confidence: 99%
“…Foramen of Monro is anatomically narrowed by the bulk of the choroid plexus which is susceptible to obstruction due to a] meningeal inflammation leading to raised CSF protein content rendering the CSF more viscous and compromising CSF flow b] focal ventriculitis c] exudates/ scarring in the region of foramen of monro [41].…”
Section: Tubercular Meningitis 81 Introductionmentioning
confidence: 99%