Decompensation of chronic internal hydrocephalus in an adult patient

We report a rare case of decompensated chronic internal hydrocephalus in an adult patient. A 35-year-old woman experienced acute intracranial hypertension in 3 weeks after relief of postoperative inflammation in the oral cavity (tooth extraction). MRI revealed severe internal hydrocephalus. Third ve...

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Bibliographic Details
Published inZhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko Vol. 84; no. 6; p. 86
Main Authors Bogomyakova, O B, Vasilkiv, L M, Stankevich, Yu A, Savelov, A A, Korostyshevskaya, A M, Tulupov, A A
Format Journal Article
LanguageRussian
Published Russia (Federation) 2020
Subjects
Adult
Cerebral Ventricles
Female
Humans
Hydrocephalus - surgery
Intracranial Hypertension - surgery
Magnetic Resonance Imaging
Third Ventricle - surgery
Ventriculostomy
brain aqueduct stenosis
case report
hydrocephalus
MRI
cerebrospinal fluid circulation
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Summary:We report a rare case of decompensated chronic internal hydrocephalus in an adult patient. A 35-year-old woman experienced acute intracranial hypertension in 3 weeks after relief of postoperative inflammation in the oral cavity (tooth extraction). MRI revealed severe internal hydrocephalus. Third ventriculostomy was followed by significant clinical improvement. However, postoperative survey and subsequent neuroimaging confirmed no reduction of ventricular system. Thus, decompensation of chronic hydrocephalus following dental intervention and subsequent oral inflammation was assumed. Impaired venous outflow from the brain and destabilization of CSF circulation can be considered as a pathogenetic mechanism.
ISSN:0042-8817
DOI:10.17116/neiro20208406186