Journal of Korean Neurosurgical Society

  • 제52권3호
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  • Pages.270-272
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Treatment of Hydrocephalus Associated with Neurosarcoidosis by Multiple Shunt Placement

  • Kim, Sung Hoon (Department of Neurosurgery, School of Medicine, Pusan National University, Pusan National University Yangsan Hospital) ;
  • Lee, Sang Weon (Department of Neurosurgery, School of Medicine, Pusan National University, Pusan National University Yangsan Hospital) ;
  • Sung, Soon Ki (Department of Neurosurgery, School of Medicine, Pusan National University, Pusan National University Yangsan Hospital) ;
  • Son, Dong Wuk (Department of Neurosurgery, School of Medicine, Pusan National University, Pusan National University Yangsan Hospital)
  • 투고 : 2012.01.31
  • 심사 : 2012.08.29
  • 발행 : 2012.09.28
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초록

A 31-year-old man was admitted to our hospital due to hydrocephalus with neurosarcoidosis. Ventriculo-peritoneal shunting was performed in the right lateral ventricle with intravenous methylprednisolone. Subsequently, after 4 months, additional ventriculo-peritoneal shunting in the left lateral ventricle was performed due to the enlarged left lateral ventricle and slit-like right lateral ventricle. After 6 months, he was re-admitted due to upward gaze palsy, and magnetic resonance image showed an isolated fourth ventricle with both the inlet and outlet of fourth ventricle obstructed by recurrent neurosarcoidosis. Owing to the difficulty of using an endoscope, we performed neuronavigator-guided ventriculo-peritoneal shunting via the left lateral transcerebellar approach for the treatment of the isolated fourth ventricle with intravenous methyl prednisolone. The patient was discharged with improved neurological status.

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참고문헌

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피인용 문헌

  1. Hydrocephalus with panventricular enlargement as the primary manifestation of neurosarcoidosis: a case report vol.7, pp.1, 2013, https://doi.org/10.1186/1752-1947-7-240
  2. Intramedullary Sarcoidosis Presenting with Delayed Spinal Cord Swelling after Cervical Laminoplasty for Compressive Cervical Myelopathy vol.56, pp.5, 2014, https://doi.org/10.3340/jkns.2014.56.5.436
  3. Endoscopic biopsy for the diagnosis of neurosarcoidosis at the fourth ventricle outlet with hydrocephalus vol.6, pp.26, 2012, https://doi.org/10.4103/2152-7806.170466
  4. Neurosarcoidosis: unusual presentations and considerations for diagnosis and management vol.93, pp.1101, 2017, https://doi.org/10.1136/postgradmedj-2016-134475
  5. A case of neurosarcoidosis with recurrent brainstem infarction, obstructive hydrocephalus and brainstem atrophy vol.58, pp.7, 2012, https://doi.org/10.5692/clinicalneurol.cn-001155
  6. Hydrocephalus as the presenting symptom of sarcoidosis: A case report and review of literature vol.8, pp.2, 2012, https://doi.org/10.1002/ccr3.2665
  7. Communicating hydrocephalus associated with neurosarcoidosis diagnosed by endoscopic biopsy vol.8, pp.2, 2020, https://doi.org/10.1111/ncn3.12354
  8. Endoscopic Management for Recurrent Hydrocephalus Associated with Neurosarcoidosis vol.144, pp.None, 2012, https://doi.org/10.1016/j.wneu.2020.08.177
  9. Aseptic meningitis and hydrocephalus secondary to neurosarcoidosis vol.14, pp.8, 2012, https://doi.org/10.1136/bcr-2021-242312