Obstructive hydrocephalus caused by intraventricular collapse of malacotic brain. Case report.

Abstract:

:The authors present the case of a 68-year-old man who experienced acute obstructive hydrocephalus after having suffered an infarction in the occipital lobe. Histopathological and serial neuroimaging examinations revealed that portions of a large disintegrating occipital infarct had entered the lateral ventricle and obstructed the passage of cerebrospinal fluid (CSF). Ventricular drainage was performed for 2 weeks until the patient's hydrocephalus resolved. The CSF initially contained a high concentration of protein (1070 mg/dl), a high leukocyte count of 115 cells/mm3, and a rich fibrinous exudate. Findings in the present case indicate that collapse of a periventricular ischemic lesion into the ventricles may sometimes occur not only after cerebral hemorrhage but also after cerebral infarction.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Nakaguchi H,Miyamoto M

doi

10.3171/jns.2001.95.1.0119

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

119-21

issue

1

eissn

0022-3085

issn

1933-0693

journal_volume

95

pub_type

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