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http://dx.doi.org/10.3340/jkns.2012.52.3.270

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)
Publication Information
Journal of Korean Neurosurgical Society / v.52, no.3, 2012 , pp. 270-272 More about this Journal
Abstract
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.
Keywords
Neurosarcoidosis; Hydrocephalus; Ventriculoperitoneal shunt;
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