Obstructive hydrocephalus caused by intraventricular collapse of malacotic brain. Case report.
The authors present the case of a 68-year-old man who experienced acute obstructive hydrocephalus after having suffered an infarction in the occipital lobe. Histopathological and serial neuroimaging examinations revealed that portions of a large disintegrating occipital infarct had entered the lateral ventricle and obstructed the passage of cerebrospinal fluid (CSF). Ventricular drainage was performed for 2 weeks until the patient's hydrocephalus resolved. The CSF initially contained a high concentration of protein (1070 mg/dl), a high leukocyte count of 115 cells/mm3, and a rich fibrinous exudate. Findings in the present case indicate that collapse of a periventricular ischemic lesion into the ventricles may sometimes occur not only after cerebral hemorrhage but also after cerebral infarction.
Nakaguchi
H
H
Department of Neurosurgery, Suwa Central Hospital, Chino City, Nagano, Japan. hnakaguchi@hi-ho.ne.jp
Miyamoto
M
M
D000368:Aged; D002544:Cerebral Infarction / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D002552:Cerebral Ventricles / Q000473:pathology*; D003937:Diagnosis, Differential; D004678:Encephalomalacia / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D009778:Occipital Lobe / Q000473:pathology*; D014057:Tomography, X-Ray Computed