Skip to main content
Log in

Chronic adult hydrocephalus due to uncommon causes

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

The authors report on four unusual cases of chronic adult hydrocephalus extracted from a large personal series of patients with hydrocephalic dementia. A syndrome resembling that of normal pressure hydrocephalus was due to the following aetiologies in these patients: Paget's disease of the skull, unruptured cerebral arteriovenous malformation, colloid cyst of the third ventricle, and cerebromeningeal cysticercosis. All these patients exhibited disturbances in cerebrospinal fluid dynamics at the time of study, and were considerably improved by CSF shunting. The value of the continuous CSF pressure monitoring and the constant infusion test in selecting patients with chronic hydrocephalus for shunt therapy is emphasized.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Adams, R. D., Fisher, C. M., Hakim, S., Ojemann, R. G., Sweet, W. H., Symptomatic occult hydrocephalus with “normal” cerebrospinal fluid pressure. A treatable syndrome. N. Engl. J. Med.273 (1965), 117–126.

    PubMed  Google Scholar 

  2. Aleksic, S. N., George, A. E., Dementia and low-pressure hydrocephalus in a patient with pituitary adenoma. J. Neurol. Sci.19 (1973), 341–345.

    PubMed  Google Scholar 

  3. Aronson, S. M., Vascular malformations, in: Pathology of the Nervous System, Vol. 2 (Minckler, ed.). New York: McGraw-Hill, Inc. 1972.

    Google Scholar 

  4. Bannister, R., Gilford, E., Kocen, R., Isotope encephalography in the diagnosis of dementia due to communicating hydrocephalus. Lancet2 (1967), 1014–1017.

    PubMed  Google Scholar 

  5. Barnett, H. J. M., Some clinical features of intracranial aneurysms. Clin. Neurosurg.16 (1969), 43–71.

    PubMed  Google Scholar 

  6. Batnitzky, S., Sarwar, M., Leeds, N. E., Colloid cysts of the third ventricle. Radiology112 (1974), 327–341.

    PubMed  Google Scholar 

  7. Belloni, G., di Rocco, C., Focacci, C., Gally, G., Maira, G., Rossi, G. F., Surgical indications in normotensive hydrocephalus. A retrospective analysis of the relations of some diagnostic findings to the results of surgical treatment. Acta Neurochir. (Wien)33 (1976), 1–21.

    Google Scholar 

  8. Bosch, D. A., Rähn, T., Backhand, E. O., Treatment of Colloid cysts of the third ventricle by stereotactic aspiration. Surg. Neurol.9 (1978), 15–18.

    PubMed  Google Scholar 

  9. Breig, A., Ekbom, K., Greitz, T., Kugelberg, E., Hydrocephalus due to elongated basilar artery—a new clinicoradiological syndrome. Lancet1 (1967), 874–875.

    PubMed  Google Scholar 

  10. Chawla, J. C., Hulme, A., Cooper, R., Intracranial pressure in patients with dementia and communicating hydrocephalus. J. Neurosurg.40 (1974), 376–380.

    PubMed  Google Scholar 

  11. Culebras, A., Feldman, R., Fager, C., Hydrocephalus and dementia in Paget's disease of the skull. J. Neurol. Sci.23 (1974), 307–321.

    PubMed  Google Scholar 

  12. Gruss, P., Kroiss, A., Gaab, M., Fuhrmeister, U., Long-term measurement of intraventricular pressure in patients with normal pressure hydrocephalus, in: Advances in Neurosurgery 4, pp. 168–175 (Wüllenweber, R., Brock, M., Hamer, J., Klinger, M., Spoerri, O., eds.). Berlin-Heidelberg-New York: 1977.

  13. French, L. A., Seljeskog, E. L., Arteriovenous malformations of the brain, in: Neurological Surgery, pp. 827–836 (Youmans, J. R., ed.). Philadelphia: Saunders Co. 1973.

    Google Scholar 

  14. Hakim, S., Adams, R. D., The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure: Observations on cerebrospinal fluid hydrodynamics. J. Neurol. Sci.2 (1965), 307–327.

    PubMed  Google Scholar 

  15. Isamat, F., Cisticercosis cerebral. Barcelona: Vergara S. A. 1957.

    Google Scholar 

  16. Katman, R., Normal pressure hydrocephalus, in: Dementia, pp. 69–92 (Wells, E., ed.). Philadelphia: FA Davis Co. 1977.

    Google Scholar 

  17. Kelly, R., Colloid cysts of the third ventricle. Analysis of 29 cases. Brain74 (1951), 23–65.

    PubMed  Google Scholar 

  18. Lamas, E., Estevez, J., Soto, M., Obrador, S., Computerized axial tomography for the diagnosis of cerebral cysticercosis. Acta Neurochir. (Wien)44 (1978), 197–205.

    Google Scholar 

  19. Lamas, E., Lobato, R. D., Intraventricular pressure and CSF dynamics in chronic adult hydrocephalus. Surg. Neurol.12 (1979), 287–295.

    PubMed  Google Scholar 

  20. Lamas, E., Lobato, R. D., Esparza, J., Escudero, L., Dural posterior fossa AV malformation producing raised sagittal sinus pressure. Case report. J. Neurosurg.46 (1977), 804–810.

    PubMed  Google Scholar 

  21. LeMay, M., New, P. F. J., Radiological diagnosis of occult normal pressure hydrocephalus. Radiology96 (1970), 347–358.

    PubMed  Google Scholar 

  22. Lewin, W., Preliminary observations on external hydrocephalus after severe head injury. Brit. J. Surg.55 (1968), 747–751.

    PubMed  Google Scholar 

  23. Little, J. R., MacCarty, C. S., Colloid cysts of the third ventricle. J. Neurosurg.40 (1974), 230–235.

    PubMed  Google Scholar 

  24. Lobato, R. D., Lamas, E., Esparza, J., Portillo, J. M., Rivas, J. J., Intraventricular pressure monitoring and CSF dynamics in non-tumor aqueductal stenosis, in: Intracranial Pressure IV, pp. 511–514 (Shulman, K., Marmarou, A., Miller, J. D., Becker, D. P., eds.). Berlin-Heidelberg-New York: Springer. 1980.

    Google Scholar 

  25. Lundberg, N., Continuous recording and control of ventricular fluid pressure in neurosurgical practice. Acta Psychiat. Scand., Suppl.149 (1960), 1–193.

    Google Scholar 

  26. Obrador, S., Cysticercosis cerebri. Acta Neurochir. (Wien)10 (1962), 320–364.

    Google Scholar 

  27. Ojemann, R. G., Normal pressure hydrocephalus. Clin. Neurosurg.18 (1971), 337–370.

    PubMed  Google Scholar 

  28. Ojemann, R. G., Fisher, C. M., Adams, R. D., Sweet, W. H., New, P. F. J., Further experience with the syndrome of “normal” pressure hydrocephalus. J. Neurosurg.31 (1969), 279–294.

    PubMed  Google Scholar 

  29. Olivecrona, H., Riives, J., Arteriovenous malformations of the brain. Their diagnosis and treatment. Arch. Neurol. Psychiat.59 (1948), 567–602.

    Google Scholar 

  30. Pedersen, K. K., Sorensen, P. S., Ankerhuss, J., Danielsen, U. T., Syphilitic normal pressure hydrocephalus. Acta Neurochir. (Wien)48 (1979), 35–39.

    Google Scholar 

  31. Simms, N. M., Maxwell, R. E., Christenson, P. C., French, L. A., Internal hydrocephalus secondary to cysticercosis cerebri: Treatment with a ventriculoatrial shunt. J. Neurosurg.30 (1969), 305–309.

    PubMed  Google Scholar 

  32. Symon, L., Dorsch, N. W. C., Use of long-term intracranial pressure measurement to asses hydrocephalic patients prior to shunt surgery. J. Neurosurg.42 (1975), 258–273.

    PubMed  Google Scholar 

  33. Theander, S., Granholm, L., Sequelae after spontaneous subarachnoid hemorrhage with special reference to hydrocephalus and Korsakoff's syndrome. Acta Neurol. Scand.43 (1967), 479–488.

    PubMed  Google Scholar 

  34. Tolosa, E., Cysticercose cérébral. Aspects cliniques et possibilités thérapeutique. Rev. Neurol.90 (1954), 187–208.

    PubMed  Google Scholar 

  35. Wilkinson, H. A., LeMay, M., Drew, J. H., Adult aqueductal stenosis. Arch. Neurol.15 (1966), 643–648.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lobato, R.D., Lamas, E., Cordobés, F. et al. Chronic adult hydrocephalus due to uncommon causes. Acta neurochir 55, 85–97 (1980). https://doi.org/10.1007/BF01808923

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01808923

Keywords

Navigation