Donaldson Christopher, Chatha Gurkirat, Chandra Ronil V, Goldschlager Tony
Department of Neurosurgery, Monash Medical Centre, Monash Health, Clayton, Melbourne, Victoria, Australia.
Department of Neurosurgery, Monash Medical Centre, Monash Health, Clayton, Melbourne, Victoria, Australia.
World Neurosurg. 2017 May;101:815.e1-815.e3. doi: 10.1016/j.wneu.2017.02.119. Epub 2017 Mar 6.
Obstructive hydrocephalus secondary to enlarged Virchow-Robin Spaces (VRS) is a rare entity, with only a few cases reported in the literature. Presenting symptoms vary widely from headaches to dizziness.
We report a case of a 31-year-old man who presented with pulsatile tinnitus and magnetic resonance imaging showing obstructive hydrocephalus secondary to tumefactive VRS. After a cerebrospinal fluid diversion procedure in the form of an endoscopic third ventriculostomy, he had almost complete resolution of his symptoms.
This is the first case of obstructive hydrocephalus secondary to enlarged VRS, presenting with pulsatile tinnitus.
继发于扩大的血管周围间隙（VRS）的梗阻性脑积水是一种罕见疾病，文献中仅有少数病例报道。其临床表现差异很大，从头痛到头晕不等。
我们报告一例31岁男性患者，其表现为搏动性耳鸣，磁共振成像显示继发于肿胀性VRS的梗阻性脑积水。在内镜下第三脑室造瘘形式的脑脊液分流手术后，他的症状几乎完全缓解。
这是首例继发于扩大的VRS并表现为搏动性耳鸣的梗阻性脑积水病例。
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