Ruptured Massa Intermedia Secondary to Hydrocephalus.
BACKGROUND
We report a case of ruptured massa intermedia (MI) as a sequela of hydrocephalus.


METHODS
A single case report is presented describing the sequelae of tumor bed hematoma after a posterior fossa hemangioblastoma resection in which the patient bled 3 days after surgery, resulting in secondary hydrocephalus and subsequently dilatation of the third ventricle, which resulted in rupture of the MI. The patient was managed on emergency basis with an external ventricular drain then endoscopically with a third ventriculostomy and clot extraction.


CONCLUSIONS
Absent MI is not uncommon in hydrocephalic patients, and it is assumed to be the result of rupture from acute dilatation of the third ventricle. Our case report proves this assumption and documents the presence and absence of the MI before and after developing hydrocephalus.
Department of Neurosurgery, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt; Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany. Electronic address: ahmed.eldamaty@uni-greifswald.de.
Ahmed
A
El Damaty
Department of Radiology, University Medicine Greifswald, Greifswald, Germany.
Soenke
S
Langner
Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany.
Henry W S
HW
Schroeder
D001932:Brain Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D004724:Endoscopy; D018325:Hemangioblastoma / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D012422:Rupture, Spontaneous; D019292:Skull Base Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D020542:Third Ventricle / Q000601:surgery*; D014696:Ventriculostomy
Endoscopic third ventriculostomy; Hemangioblastoma; Hydrocephalus; Massa intermedia