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Neuroradiological findings in multiloculated hydrocephalus

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Summary

The characteristic neuroradiological features of multiloculated hydrocephalus following neonatal meningitis and ventriculitis in five infants are presented. The role of ventriculography and computerized tomography in detecting multi-loculated and enlarged ventricles and paraventricular cavities, as well as complete and incomplete septa, is emphasized for early diagnosis and surgical management. CT scan also provides clues indicating the presence of thin but not visualized septa.

It is suggested that post-meningitic hydrocephalus should be repeatedly followed-up for detection of multiloculated transformation. Probably this entity occurs less uncommonly than was thought in the past. The CT scan appears the most helpful and safe procedure for the serial evaluation, but ventriculography may be usefully combined with it in order to plan the most suitable operative approach for fenestration of membranes.

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Reference

  1. Albanese, V., Tomasello, F., Sampaolo, S., Multiloculated hydrocephalus in infants. Neurosurgery8 (1981), 641–646.

    PubMed  Google Scholar 

  2. Berman, P. H., Banker, B. Q., Neonatal meningitis: a clinical and pathological study of 29 cases. Pediatrics38 (1966), 6–24.

    PubMed  Google Scholar 

  3. Brown, L. W., Zimmerman, R. A., Bilaniuk, L. T., Polycystic brain disease complicating neonatal meningitis: documentation of evolution by computed tomography. J. Pediatr.94 (1979), 757–759.

    PubMed  Google Scholar 

  4. Friede, R. L., Cerebral infarcts complicating neonatal leptomeningitis. Acute and residual lesions. Acta neuropath. (Berl.)23 (1973), 245–253.

    Google Scholar 

  5. Handler, L. C., Wright, M. G. E., Postmeningitic hydrocephalus in infancy. Neuroradiology16 (1978), 31–35.

    PubMed  Google Scholar 

  6. Hinck, V., Clifton, G. L., A precise technique for craniotomy localization using computerized tomography. J. Neurosurg.54 (1981), 416–418.

    PubMed  Google Scholar 

  7. Kalsbeck, J. E., De Sousa, A. L., Kleiman, M. B., Goodman, J. M., Franken, E. A., Compartmentalization of the cerebral ventricles as a sequela of neonatal meningitis. Neurosurg.52 (1980), 547–552.

    Google Scholar 

  8. Lee, E. L., Robinson, M. J., Thong, M. L., Puthucheary, S. D., Ong, T. H., Ng, K. K., Intraventricular chemotherapy in neonatal meningitis. J. Pediatr.91 (1977), 991–995.

    PubMed  Google Scholar 

  9. Leeds, N. E., Goldberg, H. I., Angiographic manifestations in cerebral inflammatory disease. Radiology98 (1971), 595–601.

    PubMed  Google Scholar 

  10. Milhorat, T. H., Hydrocephalus. In: Pediatric neurosurgery (Plum, F., McDowell, F. H., eds.), pp. 91–135. Philadelphia: F. A. Davis Company. 1978.

    Google Scholar 

  11. Milhorat, T. H., Comment to Savolaine, E. R., Gerber, A. M., Need for complementary use of air ventriculography and computerized tomographic scanning in infected hydrocephalus. Neurosurgery6 (1980), 96–98.

    PubMed  Google Scholar 

  12. Potthoff, P. C., Early and late mortality following shunt procedures in early infancy. In: Surgery of cervical myelopathy. Infantile hydrocephalus: Long-term results (Grote, W.,et al., eds.), pp. 235–246. Berlin-Heidelberg-New York: Springer. 1980.

    Google Scholar 

  13. Rhoton, Jr., A. L., Gomez, M. R., Conversion of multilocular hydrocephalus to unilocular. J. Neurosurg.36 (1972), 348–350.

    PubMed  Google Scholar 

  14. Salmon, J. H., Isolated unilateral hydrocephalus following ventriculoatrial shunt. J. Neurosurg.32 (1970), 219–226.

    PubMed  Google Scholar 

  15. Savolaine, E. R., Gerber, A. M., Computerized tomography studies of congenital and acquired cerebral intraventricular membranes. Report of two cases. J. Neurosurg.54 (1981), 388–391.

    PubMed  Google Scholar 

  16. Schultz, P., Leeds, N. E., Intraventricular septations complicating neonatal meningitis. J. Neurosurg.38 (1973), 620–626.

    PubMed  Google Scholar 

  17. Snyder, R. D., Stovring, J., The follow-up CT scan in childhood meningitis. Neuroradiology16 (1978), 22–23.

    PubMed  Google Scholar 

  18. Swick, H., Sty, J. R., Pediatric metrizamide ventriculography. Arch. Neurol.37 (1980), 582–584.

    PubMed  Google Scholar 

  19. Taboada, D., Alonso, A., Olague, R., Mulas, F., Andres, V., Radiological diagnosis of paraventricular and subcortical leukomalacia. Neuroradiology20 (1980), 33–41.

    PubMed  Google Scholar 

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Albanese, V., Tomasello, F., Sampaolo, S. et al. Neuroradiological findings in multiloculated hydrocephalus. Acta neurochir 60, 297–311 (1982). https://doi.org/10.1007/BF01406314

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  • DOI: https://doi.org/10.1007/BF01406314

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