scholarly journals Acute Hydrocephalus in an Adult Patient Secondary to Unruptured Arteriovenous Malformation

2021 ◽  
Vol 4 (4) ◽  
pp. 01-03
Author(s):  
Benjamin S. Szewczyk ◽  
Pouya Entezami ◽  
Bruce I. Tranmer

Acute hydrocephalus as a result of unruptured arteriovenous malformation (AVM) is a rare phenomenon in the adult population. Patients with AVMs typically present with hemorrhage, seizures, or focal neurologic deficits. Hydrocephalus may result from obstructing the native cerebrospinal fluid drainage by the malformation’s architecture. We report a previously healthy 32 year-old male who initially presented to an optometrist with blurry vision, visual obscurations, and papilledema. A large right frontal cerebral AVM with hydrocephalus and papilledema was confirmed by MRI. Unfortunately localized lesions may result in hydrocephalus as a rare presentation in unruptured AVMs.

2000 ◽  
Vol 7 (2) ◽  
pp. 132-135 ◽  
Author(s):  
Kurt Tiesenhausen ◽  
Wilfried Amann ◽  
Günter Koch ◽  
Klaus A. Hausegger ◽  
Peter Oberwalder ◽  
...  

2018 ◽  
Vol 34 (3) ◽  
pp. 161-167 ◽  
Author(s):  
Amy Armstrong-Javors ◽  
Kalpathy Krishnamoorthy

Headache and Neurologic Deficits with cerebrospinal fluid Lymphocytosis (HaNDL) syndrome is a rare stroke mimicker characterized by moderate to severe headache temporally associated with transient neurologic deficits, typically hemiparesis, hemisensory disturbance, and/or aphasia. Cerebrospinal fluid studies reveal a lymphocytosis and elevated protein. Episodes recur over a period no longer than 3 months. Here we describe the case of a 16-year-old boy who presented with 3 episodes of self-resolving neurologic deficits, papilledema on fundoscopic examination, and leptomeningeal enhancement on magnetic resonance imaging (MRI). We additionally review the 30 previously reported pediatric cases of HaNDL syndrome, with a focus on possible etiologic and pathophysiologic mechanisms of disease. The reported case and literature review highlight the benign episodic nature of this likely underrecognized syndrome as well as the higher than expected frequency of abnormal neuroimaging findings.


Cureus ◽  
2021 ◽  
Author(s):  
Pinak Shah ◽  
Kartika Shetty ◽  
Maycky Tang ◽  
Elnaz Saberi ◽  
Nazanin Sheikhan

2021 ◽  
Author(s):  
Adedamola Adepoju ◽  
Lucas P Carlstrom ◽  
Christopher S Graffeo ◽  
Avital Perry ◽  
Carlos Diogenes Pinheiro-Neto ◽  
...  

Abstract BACKGROUND The lateral craniopharyngeal or Sternberg's canal (SC) originates from superior orbital fissure (SOF) and traverses the sphenoid body into the nasopharynx. A remnant of the canal, Sternberg's defect (SD), has been debated as a source of cerebrospinal fluid (CSF) leak. The canal was described in 1888, and there is limited accurate visual illustration in the literature. OBJECTIVE To provide a detailed anatomic and radiological illustration of the canal in pediatric and adult population including the mechanism undermining the incidence of the canal, and the possibility of the canal as a source of CSF leak. METHODS A total of 195 high-resolution computed tomographies (CT) of patients (50 3-yr-old, 20 5-yr-old, and 125 adults) and 43 dry adult skulls (86 sides) were analyzed for a canal matching the description of the SC. RESULTS A SC was identified in 86% of the 3-yr-old and 40% of 5-yr–old patients. The diameter and length were 2.12 mm and 12 mm, respectively. The incidence of the canal decreased with age as sinus pneumatization extended into the sphenoid sinus. Only 0.8% of the adult skull on CT had the canal. The canal was not present on the dry adult skulls examination, but SD was found in 4.65%. CONCLUSION SC exists with high incidence in the pediatric group. Sinus pneumatization obliterates the canal in the adult population, leaving a defect in 4.65% of cases, which given the location and related anatomic structures, is unlikely to be a source of CSF leak.


2017 ◽  
Vol 65 (4) ◽  
pp. 900 ◽  
Author(s):  
BijeshR Nair ◽  
GandhamE Jonathan ◽  
Vivek Joseph ◽  
Sunithi Mani ◽  
Geeta Chacko

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