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A case of double compartment hydrocephalus.

Journal of the Korean Pediatric Society 1991;34(9):1305-1310.
Published online September 30, 1991.
A case of double compartment hydrocephalus.
Eun Kyung Oh1, Hae Young Lee1, Jae Seung Yang1, Chul Hu2, Young Hyuk Lee3
1Departmenrt of Pediatrics, Yonsei University, Wonju College of Medicine, Wonju, Korea
2Department of Neurosurgery, Yonsei University, Wonju College of Medicine, Wonju, Korea
3Department of Pediatrics, Konkuk University, College of Medicine, Seoul, Korea
Double Compartment Hydrocephalus 1례
오은경1, 이해용1, 양재승1, 허철2, 이영혁3
1연세대학교 원주의과대학 소아과학교실
2연세대학교 원주의과대학 신경외과학교실
3건국대학교 의과대학 소아과학교실
Received: 24 April 1991   • Accepted: 25 June 1991
Abstract
The double compartment hydrocephalus is now recognized as a clinical entity needing early diagnosis and treatment. By definition, the concept of double compartment hydrocephalus indicates seperate and individually progressing, usually sequential, hydrocephalus of the supratentorial and infratentorial CSF ventricles. In most instances, this entity consists of supratentorial hydrocephalus of the third and lateral ventricles (as a result of aqueductal stenosis) that has been treated by a CSF shunt for months to years, followed by the appearance of infratentorial hydrocephalus involving the fourth ventricle, either isolated or also involving the subarachnoid spaces of the posterior fossa and basal cisterns. We have experienced a case of double compartment hydrocephalus in 13 months old male who had irritability, vomiting and ataxia. The operation findings revealed dilatation of the fourth ventricle, large posterior fossa arachnoid cyst, aqueduct obstruction with veil, dilatation of third and lateral ventricles. f A brief review of the related literature was presented.
Key Words: Double Compartment Hydrocephalus, Aqueductal Veil occlusion


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