Parmar Amit, Aquilina Kristian, Carter Michael R
Department of Neurosurgery, Frenchay Hospital, Bristol, United Kingdom.
J Neurosurg. 2009 Sep;111(3):628-31. doi: 10.3171/2008.5.JNS08286.
Chronic obstructive hydrocephalus is known to cause ventricular diverticula and, rarely, spontaneous ventriculostomy. The authors present the case of a patient in whom a spontaneous third ventriculostomy was identified with long-standing hydrocephalus secondary to aqueductal stenosis. To their knowledge, this is the first report in which a spontaneous stoma in the floor of the third ventricle was evaluated using endoscopy and cerebrospinal fluid dynamics studies. Both studies confirmed that the spontaneous stoma is similar in structure and function to surgical third ventriculostomy.
已知慢性梗阻性脑积水可导致脑室憩室，且极少会出现自发性脑室造瘘。作者报告了一例患者，该患者因导水管狭窄继发长期脑积水，经检查发现存在自发性第三脑室造瘘。据他们所知，这是首例使用内镜检查和脑脊液动力学研究对第三脑室底部自发性造瘘口进行评估的报告。两项研究均证实，该自发性造瘘口在结构和功能上与外科第三脑室造瘘相似。
