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May 6, 2026Surgical Neurology International

Third ventriculostomy and endoscopic aqueductoplasty in a child with isolated fourth ventricle after intraventricular hemorrhage of prematurity

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Authors

FLFranklin Bernardes Faraj de LimaVGVitor Ribeiro GonçalvesASAndré Guimarães Soares

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Overview

Case report demonstrates third ventriculostomy improved cerebrospinal fluid flow in a child with isolated fourth ventricle and ventriculomegaly, suggesting effective treatment for posthemorrhagic etio

Key Points

  • The case aims to illustrate a treatment approach for managing hydrocephalus related to an isolated fourth ventricle.
  • Describes endoscopic third ventriculostomy and aqueductoplasty performed on a 2-year-old child
  • Utilized an intraventricular catheter for tunneling under direct vision
  • Monitored outcomes through follow-up CT scans and neurodevelopmental assessments.
  • Successful restoration of cerebrospinal fluid circulation noted post-surgery
  • Follow-up CT scan showed decreased ventriculomegaly and significant brainstem decompression
  • Patient showed adequate neuropsychomotor development six months post-procedure.

Cite This Study

Lima et al. (2026) studied this question.

synapsesocial.com/papers/69fa980604f884e66b531e9ahttps://doi.org/10.25259/sni_3_2026
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