Communicating hydrocephalus as a cause of aqueductal stenosis. 1979

G R Nugent, and O Al-Mefty, and S Chou

Eleven cases of presumed aqueductal stenosis with onset of symptoms after the first decade were reviewed. Ten patients had complete occlusion and one a high-grade stenosis. In 10, the dilated lateral ventricles caused a marked inferior displacement of the third ventricle. Postshunting diagnostic studies on six of these patients revealed ascent of the third ventricle, and in three of these the aqueduct was shown to be patent. It appears that in some cases of advanced communicating hydrocephalus the descending third ventricle kinks or pinches shut the aqueduct, adding an obstructive component which accelerates the clinical picture. The mechanism and clinical features of this process are discussed.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011011 Pneumoencephalography Radiographic visualization of the cerebral ventricles by injection of air or other gas. Cisternography, Pneumoencephalographic,Pneumoencephalographic Cisternography,Cisternographies, Pneumoencephalographic,Pneumoencephalographic Cisternographies,Pneumoencephalographies
D002535 Cerebral Aqueduct Narrow channel in the MESENCEPHALON that connects the third and fourth CEREBRAL VENTRICLES. Aqueduct of Sylvius,Aqueductus Cerebri,Mesencephalic Aqueduct,Mesencephalic Duct,Sylvian Aqueduct,Aqueduct, Cerebral,Aqueduct, Mesencephalic,Aqueduct, Sylvian,Aqueducts, Cerebral,Aqueducts, Mesencephalic,Aqueducts, Sylvian,Aqueductus Cerebrus,Cerebral Aqueducts,Cerebri, Aqueductus,Cerebrus, Aqueductus,Duct, Mesencephalic,Ducts, Mesencephalic,Mesencephalic Aqueducts,Mesencephalic Ducts,Sylvian Aqueducts,Sylvius Aqueduct
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006849 Hydrocephalus Excessive accumulation of cerebrospinal fluid within the cranium which may be associated with dilation of cerebral ventricles, INTRACRANIAL HYPERTENSION; HEADACHE; lethargy; URINARY INCONTINENCE; and ATAXIA. Communicating Hydrocephalus,Congenital Hydrocephalus,Obstructive Hydrocephalus,Post-Traumatic Hydrocephalus,Aqueductal Stenosis,Cerebral Ventriculomegaly,Fetal Cerebral Ventriculomegaly,Hydrocephalus Ex-Vacuo,Hydrocephaly,Aqueductal Stenoses,Cerebral Ventriculomegalies,Cerebral Ventriculomegalies, Fetal,Cerebral Ventriculomegaly, Fetal,Fetal Cerebral Ventriculomegalies,Hydrocephalus Ex Vacuo,Hydrocephalus Ex-Vacuos,Hydrocephalus, Communicating,Hydrocephalus, Congenital,Hydrocephalus, Obstructive,Hydrocephalus, Post-Traumatic,Post Traumatic Hydrocephalus,Stenoses, Aqueductal,Stenosis, Aqueductal,Ventriculomegalies, Cerebral,Ventriculomegalies, Fetal Cerebral,Ventriculomegaly, Cerebral,Ventriculomegaly, Fetal Cerebral
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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