Adult idiopatic occlusion of Monro foramina: intraoperative endoscopic reinterpretation of radiological data and review of the literature.
Identifieur interne : 000175 ( PubMed/Curation ); précédent : 000174; suivant : 000176Adult idiopatic occlusion of Monro foramina: intraoperative endoscopic reinterpretation of radiological data and review of the literature.
Auteurs : Claudio Schonauer [Italie] ; Reuben Johnson ; Stefano Chiriatti ; Raffaele De Falco ; Vincenzo Albanese ; Enrico Tessitore ; Giuseppe M V. BarbagalloSource :
- British journal of neurosurgery [ 1360-046X ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Femelle, Humains, Hydrocéphalie (), Hydrocéphalie (étiologie), Jeune adulte, Mâle, Neuroendoscopie (), Septum pellucidum (), Septum pellucidum (anatomopathologie), Sténose pathologique (), Ventricules cérébraux (), Ventricules cérébraux (anatomopathologie), Ventriculographie cérébrale.
- MESH :
- anatomopathologie : Septum pellucidum, Ventricules cérébraux.
- étiologie : Hydrocéphalie.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Hydrocéphalie, Jeune adulte, Mâle, Neuroendoscopie, Septum pellucidum, Sténose pathologique, Ventricules cérébraux, Ventriculographie cérébrale.
English descriptors
- KwdEn :
- Adult, Cerebral Ventricles (pathology), Cerebral Ventricles (surgery), Cerebral Ventriculography, Constriction, Pathologic (surgery), Female, Humans, Hydrocephalus (etiology), Hydrocephalus (radiography), Hydrocephalus (surgery), Male, Middle Aged, Neuroendoscopy (methods), Septum Pellucidum (pathology), Septum Pellucidum (radiography), Septum Pellucidum (surgery), Young Adult.
- MESH :
- etiology : Hydrocephalus.
- methods : Neuroendoscopy.
- pathology : Cerebral Ventricles, Septum Pellucidum.
- radiography : Hydrocephalus, Septum Pellucidum.
- surgery : Cerebral Ventricles, Constriction, Pathologic, Hydrocephalus, Septum Pellucidum.
- Adult, Cerebral Ventriculography, Female, Humans, Male, Middle Aged, Young Adult.
Abstract
Adult idiopathic occlusion of the foramen of Monro (AIOFM) is a rare condition, with only few cases described in the modern literature. We propose that AIOFM may result from unilateral or bilateral occlusion of Monro foramina, as well as from progression of a monolateral hydrocephalus. Different surgical strategies may be required for effective treatment according to the type of occlusion. To date, only 12 cases of AIOFM have been reported in the literature. We report the cases of two patients, aged 20 and 47 years respectively, who presented with intracranial hypertension secondary to bilateral ventricular dilatation due to obstruction at the level of the foramen of Monro. Both patients were successfully treated with endoscopic fenestration of the primarily obstructed foramen of Monro and, in one patient, fenestration of the septum. We propose that septum pellucidum displacement could play a role in the occlusion of the second foramen of Monro. AIOFM can, therefore, result also from unilateral stenosis of Monro. The difference in AIOFM (i.e. unilateral vs bilateral) will be useful in guiding the most suitable surgical approach in this rare condition.
DOI: 10.3109/02688697.2014.918580
PubMed: 24874606
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<term>Cerebral Ventricles (surgery)</term>
<term>Cerebral Ventriculography</term>
<term>Constriction, Pathologic (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Hydrocephalus (etiology)</term>
<term>Hydrocephalus (radiography)</term>
<term>Hydrocephalus (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuroendoscopy (methods)</term>
<term>Septum Pellucidum (pathology)</term>
<term>Septum Pellucidum (radiography)</term>
<term>Septum Pellucidum (surgery)</term>
<term>Young Adult</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hydrocéphalie ()</term>
<term>Hydrocéphalie (étiologie)</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Neuroendoscopie ()</term>
<term>Septum pellucidum ()</term>
<term>Septum pellucidum (anatomopathologie)</term>
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<term>Ventricules cérébraux (anatomopathologie)</term>
<term>Ventriculographie cérébrale</term>
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<term>Ventricules cérébraux</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Hydrocephalus</term>
</keywords>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Cerebral Ventricles</term>
<term>Septum Pellucidum</term>
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<keywords scheme="MESH" qualifier="radiography" xml:lang="en"><term>Hydrocephalus</term>
<term>Septum Pellucidum</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Cerebral Ventricles</term>
<term>Constriction, Pathologic</term>
<term>Hydrocephalus</term>
<term>Septum Pellucidum</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hydrocéphalie</term>
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<term>Cerebral Ventriculography</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
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<term>Mâle</term>
<term>Neuroendoscopie</term>
<term>Septum pellucidum</term>
<term>Sténose pathologique</term>
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<front><div type="abstract" xml:lang="en">Adult idiopathic occlusion of the foramen of Monro (AIOFM) is a rare condition, with only few cases described in the modern literature. We propose that AIOFM may result from unilateral or bilateral occlusion of Monro foramina, as well as from progression of a monolateral hydrocephalus. Different surgical strategies may be required for effective treatment according to the type of occlusion. To date, only 12 cases of AIOFM have been reported in the literature. We report the cases of two patients, aged 20 and 47 years respectively, who presented with intracranial hypertension secondary to bilateral ventricular dilatation due to obstruction at the level of the foramen of Monro. Both patients were successfully treated with endoscopic fenestration of the primarily obstructed foramen of Monro and, in one patient, fenestration of the septum. We propose that septum pellucidum displacement could play a role in the occlusion of the second foramen of Monro. AIOFM can, therefore, result also from unilateral stenosis of Monro. The difference in AIOFM (i.e. unilateral vs bilateral) will be useful in guiding the most suitable surgical approach in this rare condition.</div>
</front>
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<Abstract><AbstractText>Adult idiopathic occlusion of the foramen of Monro (AIOFM) is a rare condition, with only few cases described in the modern literature. We propose that AIOFM may result from unilateral or bilateral occlusion of Monro foramina, as well as from progression of a monolateral hydrocephalus. Different surgical strategies may be required for effective treatment according to the type of occlusion. To date, only 12 cases of AIOFM have been reported in the literature. We report the cases of two patients, aged 20 and 47 years respectively, who presented with intracranial hypertension secondary to bilateral ventricular dilatation due to obstruction at the level of the foramen of Monro. Both patients were successfully treated with endoscopic fenestration of the primarily obstructed foramen of Monro and, in one patient, fenestration of the septum. We propose that septum pellucidum displacement could play a role in the occlusion of the second foramen of Monro. AIOFM can, therefore, result also from unilateral stenosis of Monro. The difference in AIOFM (i.e. unilateral vs bilateral) will be useful in guiding the most suitable surgical approach in this rare condition.</AbstractText>
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<Keyword MajorTopicYN="N">MRI</Keyword>
<Keyword MajorTopicYN="N">foraminoplasty</Keyword>
<Keyword MajorTopicYN="N">neuroendoscopy</Keyword>
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