Abstract
In a follow-up study of 164 hydrocephalic children without tumors treated with ventriculoperitoneal shunts, 46 (28.0%) developed slit ventricles, 5 (3.0%) developed isolated fourth ventricles, and 4 (2.4%) developed isolated unilateral hydrocephalus. All of the patients with isolated unilateral hydrocephalus and 3 with isolated fourth ventricles had associated slit ventricles, 2 of whom had enlarged ventricles as double-compartment hydrocephalus. Reopening of the foramen of Monro or the aqueduct was achieved in one of the former and two of the latter cases with re-expansion of the slit ventricles. It is suggested that in some cases, the slit ventricle could be a causative factor in post-shunt isolated ventricle.
Similar content being viewed by others
References
Bering EA Jr (1962) Circulation of the cerebrospinal fluid. Demonstration of the choroid plexus as the generator of the force for flow of fluid and ventricular enlargement. J Neurosurg 19:405–412
Bradley KC (1970) Cerebrospinal fluid pressure. J Neurol Neurosurg Psychiatry 33:387–397
Engel M, Carmel PW, Chutorian AM (1979) Increased intraventricular pressure without ventriculomegaly in children with shunts: “normal volume” hydrocephalus. Neurosurgery 5:549–552
Epstein FJ, Fleischer AS, Hochwald GM, Ransohoff J (1974) Subtemporal craniectomy for recurrent shunt obstruction secondary to small ventricles. J Neurosurg 41:29–31
Foltz EL, Defeo DR (1980) Double compartment hydrocephalus — a new clinical entity. Neurosurgery 7:551–559
Foltz EL, Shurtleff DB (1966) Conversion of communicating hydrocephalus to stenosis or occlusion of the aqueduct during ventricular shunt. J Neurosurg 24:520–525
Harrison HR, Reynolds AF (1982) Trapped fourth ventricle in coccidioidal meningitis. Surg Neurol 17:197–199
Hawkins JC, Hoffman HJ, Humphreys RP (1978) Isolated fourth ventricle as a complication of ventricular shunt. J Neurosurg 49:910–913
Holness RO, Hoffman HJ, Hendrick EB (1979) Subtemporal decompression for the slit-ventricle syndrome after shunting in hydrocephalic children. Child's Brain 5:137–144
Hyde-Rowan MD, Rekate HL, Nulsen FE (1982) Reexpansion of previously collapsed ventricles: the slit ventricle syndrome. J Neurosurg 56:536–539
Ito M, Tsugane R, Ohya A, Fumi M, Sato O (1978) Slit-like ventricle after the shunt operation for hydrocephalus. Nerv Syst Child 3:131–138
Kaufman B, Weiss MH, Young HF, Nulsen FE (1973) Effects of prolonged cerebrospinal fluid shunting on the skull and brain. J Neurosurg 38:288–297
Matsumoto S, Sato H, Masumura M (1981) Isolated fourth ventricle. Neurol Surg 9:897–903
Nakata Y, Enomoto Y, Maki Y (1982) Clinical and computed tomographical analysis of hydrocephalic children showing slit-like ventricle after shunt operation. Nerv Syst Child 7:59–66
Oi S (1983) Slit-like ventricle and isolation of CSF pathway as complication of shunt procedure in child hydrocephalus. II. Development of antislit ventricular catheter and the experimental study. Nerv Syst Child 8:119–127
Oi S, Matsumoto S (1983) Slit-like ventricle and isolation of CSF pathway as complication of shunt procedure in child hydrocephalus. III. Hydrodynamic change in isolated ventricle. Prog CT 5:667–676
Oi S, Matsumoto S (1985) Infantile hydrocephalus — the peculiarity and therapeutic problems. Nerv Syst Child 10 (in press)
Raimondi AJ, Samuelson G, Yarzgaray L, Norton T (1969) Atresia of the foramina of Luschka and Magendie: the Dandy-Walker cyst. J Neurosurg 31:202–216
Rubin RC, Hochwald G, Tiell M, et al (1975) Reconstruction of the cerebral cortical mantle in shunt-corrected hydrocephalus. Dev Med Child Neurol [Suppl 35] 17:35
Salmon JH (1970) Isolated unilateral hydrocephalus following ventriculoatrial shunt. J Neurosurg 32:219–226
Samuelsen S, Long DM, Chou SN (1972) Subdural hematoma as a complication of shunting procedures for normal pressure hydrocephalus. J Neurosurg 37:548–551
Zimmerman RA, Bilaniuk LT, Gallo E (1978) Computed tomography of the trapped fourth ventricle. AJR 130:503–506
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Oi, S., Matsumoto, S. Slit ventricles as a cause of isolated ventricles after shunting. Child's Nerv Syst 1, 189–193 (1985). https://doi.org/10.1007/BF00270760
Issue Date:
DOI: https://doi.org/10.1007/BF00270760