All issues > Volume 34(9); 1991

Original Article

J Korean Pediatr Soc. 1991;34(9):1305-1310. Published online September 30, 1991.

A case of double compartment hydrocephalus.

Eun Kyung Oh¹, Hae Young Lee¹, Jae Seung Yang¹, Chul Hu², Young Hyuk Lee³

¹Departmenrt of Pediatrics, Yonsei University, Wonju College of Medicine, Wonju, Korea
²Department of Neurosurgery, Yonsei University, Wonju College of Medicine, Wonju, Korea
³Department of Pediatrics, Konkuk University, College of Medicine, Seoul, Korea

Received: April 24, 1991;  Accepted: June 25, 1991.

Abstract

The double compartment hydrocephalus is now recognized as a clinical entity needing early diagnosis and treatment. By definition, the concept of double compartment hydrocephalus indicates seperate and individually progressing, usually sequential, hydrocephalus of the supratentorial and infratentorial CSF ventricles. In most instances, this entity consists of supratentorial hydrocephalus of the third and lateral ventricles (as a result of aqueductal stenosis) that has been treated by a CSF shunt for months to years, followed by the appearance of infratentorial hydrocephalus involving the fourth ventricle, either isolated or also involving the subarachnoid spaces of the posterior fossa and basal cisterns. We have experienced a case of double compartment hydrocephalus in 13 months old male who had irritability, vomiting and ataxia. The operation findings revealed dilatation of the fourth ventricle, large posterior fossa arachnoid cyst, aqueduct obstruction with veil, dilatation of third and lateral ventricles. f A brief review of the related literature was presented.

Keywords :Double Compartment Hydrocephalus;Aqueductal Veil occlusion