Umemura K, Hayashi N, Hamada H, Endo S, Takaku A
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Japan.
No To Shinkei. 1998 May;50(5):427-31.
Endoscopic third ventriculostomy in a case of obstructive hydrocephalus with neurofibromatosis (NF-1) was reported. The patient was a 25-year-old male, who suffered from progressive headache and somnolence. He underwent a ventriculoperitoneal shunt at the age of 11 years. After that, 8 times of shunt revision and unilateral subtemporal decompression were performed during 14 years until this admission. The programmable valve system was used at the last procedure. On admission, computed tomography (CT) scan showed marked enlarged lateral and third ventricles. The patient was diagnosed as hydrocephalus resulting from shunt malfunction. An endoscopic third ventriculostomy was performed and his symptoms improved immediately. The size of the lateral and third ventricles was revealed normal on the CT 18 months after the third ventriculostomy.
报道了1例患有神经纤维瘤病（NF-1）的梗阻性脑积水患者行内镜下第三脑室造瘘术的病例。患者为25岁男性，患有进行性头痛和嗜睡。他在11岁时接受了脑室腹腔分流术。此后，在14年期间进行了8次分流器翻修和单侧颞下减压术，直至此次入院。最后一次手术使用了可编程瓣膜系统。入院时，计算机断层扫描（CT）显示侧脑室和第三脑室明显扩大。患者被诊断为分流器故障导致的脑积水。进行了内镜下第三脑室造瘘术，其症状立即得到改善。第三脑室造瘘术后18个月的CT显示侧脑室和第三脑室大小正常。
