Cerebral infarction after neuroendoscopic third ventriculostomy: case report

Neurosurgery. 2000 Apr;46(4):999-1001; discussion 1001-2. doi: 10.1097/00006123-200004000-00047.

Abstract

Objective and importance: This case illustrates an unusual complication of neuroendoscopic third ventriculostomy.

Clinical presentation: A 30-year-old man with established hydrocephalus was treated with neuroendoscopic third ventriculostomy during which bleeding occurred from a vessel deep in the floor of the third ventricle. He subsequently had a third nerve palsy and developed frontal lobe infarction.

Intervention: The complication was treated conservatively. The patient subsequently required shunting.

Conclusion: The cause of the infarction is discussed. The general issue of complications of this procedure is explored with a call for more open reporting of such occurrences.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerebral Infarction / etiology*
  • Cerebral Ventricles / surgery*
  • Endoscopy / adverse effects*
  • Humans
  • Hydrocephalus / diagnosis
  • Hydrocephalus / surgery
  • Magnetic Resonance Imaging
  • Male
  • Oculomotor Nerve Diseases / etiology
  • Tomography, X-Ray Computed