Vertebrobasilar Dolichoectasia, Hypoplastic Third Ventricle, and Related Biventricular Hydrocephalus: Case Report and Review of the Literature.
Giuseppe Emmanuele Emmanuele UmanaNicola AlberioFrancesca GrazianoMarco FriciaSantino Ottavio TomasiLeonardo CorbinoGiovanni Federico NicolettiSalvatore CiceroGianluca ScaliaPublished in: Journal of neurological surgery. Part A, Central European neurosurgery (2021)
The natural clinical history of patients affected by VBDE is unfavorable with 7.8 years of median survival. The therapeutic strategy is usually conservative and the role of antiplatelets or oral anticoagulants is still debated. In selected patients, ventriculoperitoneal shunt to resolve intracranial hypertension caused by biventricular hydrocephalus is the most effective treatment. In our opinion, chronic third ventricle compression could lead to anatomic-pathologic alterations like the third ventricle hypoplasia documented in our report.
Keyphrases
- end stage renal disease
- chronic kidney disease
- ejection fraction
- pulmonary artery
- newly diagnosed
- blood pressure
- mitral valve
- pulmonary hypertension
- peritoneal dialysis
- prognostic factors
- subarachnoid hemorrhage
- coronary artery
- heart failure
- neoadjuvant chemotherapy
- squamous cell carcinoma
- oral anticoagulants
- pulmonary arterial hypertension
- brain injury
- cerebrospinal fluid
- patient reported outcomes
- left ventricular
- optical coherence tomography
- patient reported