Aoki N, Mizutani H
Neurosurgery. 1985 Apr;16(4):557-61.
With computed tomography, triventricular hydrocephalus shows enlargement of the 3rd and both lateral ventricles with a nearly normal size 4th ventricle. Triventricular hydrocephalus has been described as noncommunicating because of aqueductal stenosis or obstruction. The authors, however, have encountered three patients whose computed tomographic (CT) images were those of triventricular hydrocephalus despite a patent aqueduct. This condition may be suitably referred to as communicating triventricular hydrocephalus because in all cases metrizamide CT cisternography demonstrated the communication between the spinal subarachnoid space and both lateral ventricles. The authors discuss its treatment with a lumboperitoneal shunt.
通过计算机断层扫描，三脑室型脑积水表现为第三脑室和双侧脑室扩大，第四脑室大小基本正常。由于导水管狭窄或阻塞，三脑室型脑积水被描述为非交通性脑积水。然而，作者遇到了三名患者，尽管导水管通畅，但其计算机断层扫描（CT）图像却显示为三脑室型脑积水。这种情况可能恰当地称为交通性三脑室型脑积水，因为在所有病例中，甲泛葡胺CT脑池造影均显示脊髓蛛网膜下腔与双侧脑室之间存在交通。作者讨论了采用腰大池-腹腔分流术对其进行治疗。
