Hostname: page-component-848d4c4894-8kt4b Total loading time: 0 Render date: 2024-06-30T19:06:26.127Z Has data issue: false hasContentIssue false

Partially Sequestered Fourth Ventricle: CT and MR Diagnosis of an Unusual Entity

Published online by Cambridge University Press:  18 September 2015

V.G. Wagle*
Affiliation:
Department of Neurosurgical Education at Hartford Hospital, University of Connecticut Health Center, Hartford
D. Melanson
Affiliation:
Department of Neurosurgery and Neuroradiology, Montreal Neurological Hospital and Institute, McGill University, Montreal, Quebec, Canada
J.G. Villemure
Affiliation:
Department of Neurosurgery and Neuroradiology, Montreal Neurological Hospital and Institute, McGill University, Montreal, Quebec, Canada
*
Department of Neurosurgery, Hartford Hospital, Hartford, CT 06115-0729 U.S.A.
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Encystment of the fourth ventricle, due to occlusion of the aqueduct as well as the foramina of Magendie and Luschka has been described previously. Partial sequestration such as that encountered in two cases described is a less common entity. In these two cases, the aqueduct of Sylvius was occluded, but the basal foramina (Magendie and Luschka) were patent. We discuss this partial sequestration or communicating hydrocephalus of the fourth ventricle on the basis of MR and CT scan findings. Although computed tomography following water soluble cisternography did diagnose the entity indirectly MRI proved to be a superior tool. It permitted direct visualization of the basal foramina noninvasively.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1989

References

REFERENCES

1.Wagle, VG, Melanson, D, Ethier, R. Choroid plexus papillomas: MR, CT and angiographic observations. Surg Neurol 1987.CrossRefGoogle Scholar
2.Wagle, VG, Villemure, JG, Melanson, D, et al. Diagnostic potential of MR in foramen magnum meningiomas. Neurosurgery 1987; 21: 621626.CrossRefGoogle ScholarPubMed
3.DeFeo, D, Foltz, L, Hamilton, AE. Double compartment hydrocephalus in a patient with cysticercosis meningitis. Surg Neurol 1975; 4: 247251.Google Scholar
4.Hawkins, JC III, Hoffman, HJ, Humphreys, RP. Isolated fourth ventricle as a complication of ventricular shunting. J Neurosurg 1978; 49: 910913.CrossRefGoogle ScholarPubMed
5.Sherman, JL, Citrin, CM, Bowen, BJ. MR demonstration of altered cerebrospinal fluid flow by obstructive lesions. Am J Neuroradiol 1986; 7: 571579.Google ScholarPubMed
6.Sherman, JL, Citrin, CM, Gangarosa, RE, et al. The MR appearance of CSF flow in patients with ventriculomegaly. Am J Neuroradiol 1986, 7: 10251031.Google Scholar
7.Hubbard, JL, Wayne, Houser O., Laws, ER. Trapped fourth ventricle in an adult: radiographic findings and surgical treatment. Surg Neurology 1987; 28: 301306.CrossRefGoogle Scholar
8.Scotti, G, Musgrave, MA, Fitz, CR, et al. The isolated fourth ventricle in children: CT and clinical review of 16 cases. Am J Neuroradiol 1980; 1: 419424.Google Scholar
9.Aoki, M. Communicating fourth ventricular hydrocephalus: case report. Neurosurgery 1987; 20: 808.Google ScholarPubMed
10.Davson, H, Segal, MB. Secretion and drainage of the cerebrospinal fluid. In: Walker, AE, Arana-Iniguez, R, eds. Cerebrospinal Fluid in Health and Disease. Acta Neurologica Latinoamericana 1972; 17: 99118 (Suppl 1).Google Scholar
11.Di Chiro, G. Scanning of cerebrospinal fluid cavities. In: Walker, AE, Arana-Iniguez, R, eds. Cerebrospinal Fluid in Health and Disease. Acta Neurologica atinoamericana 1972; 17: 235244 (Suppl 1).Google Scholar
12.Milhorat, TH. Modern concepts of hydrocephalus. In: Walker, AE, Arana-Iniquez, R, eds. Cerebrospinal Fluid in Health and Disease. Acta Neurologica Latinoamericana 1972; 17: 195205 (Suppl 1).Google Scholar
13.Hakim, S. Algunas observaciones sobre la presión del LCR sindrome hidrocefálico en el adulto con “presión normal” del LCR. Thesis no 957. 1964, Universidad Javeriana. Bogota, Colombia.Google Scholar
14.Drayer, BP, Rosebaum, AE, Marson, JC, et al. Posterior fossa extraaxial cyst: diagnosis with metrizamide CT cisternography. Am J Neuroradiol 1977; 128: 431436.Google ScholarPubMed