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Immediate resolution of tonsillar herniation and severe cervicothoracic syringomyelia after third ventriculostomy for hydrocephalus caused by a brainstem tumor. Case report.
J Neurosurg. 2007 Jan; 106(1 Suppl):44-7.JN

Abstract

The authors report the case of a patient who harbored a large intrinsic brainstem tumor associated with tonsillar herniation, hydrocephalus, and severe cervicothoracic syringomyelia. This 15-year-old girl had a 2-month history of progressively worsening headaches. Magnetic resonance imaging showed a large tumor in the dorsolateral brainstem accompanied by hydrocephalus as well as a cervicothoracic syrinx extending to the level of T-8. She underwent endoscopic third ventriculostomy that resulted in a marked decrease in the ventricle size as well as complete resolution of the syrinx and tonsillar herniation within 4 days. Clinical and neuroimaging findings of the case along with a pertinent literature review are presented.

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Authors+Show Affiliations

Raja AI
Department of Neurosurgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, USA. airaja@uicalumni.org
Adada B
No affiliation info available

MeSH

AdolescentBrain Stem NeoplasmsCerebellar DiseasesCervical VertebraeDecompression, SurgicalEncephaloceleFemaleGliomaHumansHydrocephalusSyringomyeliaThird VentricleThoracic VertebraeVentriculostomy

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17233312

Citation

Raja, Ali I., and Badih Adada. "Immediate Resolution of Tonsillar Herniation and Severe Cervicothoracic Syringomyelia After Third Ventriculostomy for Hydrocephalus Caused By a Brainstem Tumor. Case Report." Journal of Neurosurgery, vol. 106, no. 1 Suppl, 2007, pp. 44-7.
Raja AI, Adada B. Immediate resolution of tonsillar herniation and severe cervicothoracic syringomyelia after third ventriculostomy for hydrocephalus caused by a brainstem tumor. Case report. J Neurosurg. 2007;106(1 Suppl):44-7.
Raja, A. I., & Adada, B. (2007). Immediate resolution of tonsillar herniation and severe cervicothoracic syringomyelia after third ventriculostomy for hydrocephalus caused by a brainstem tumor. Case report. Journal of Neurosurgery, 106(1 Suppl), 44-7.
Raja AI, Adada B. Immediate Resolution of Tonsillar Herniation and Severe Cervicothoracic Syringomyelia After Third Ventriculostomy for Hydrocephalus Caused By a Brainstem Tumor. Case Report. J Neurosurg. 2007;106(1 Suppl):44-7. PubMed PMID: 17233312.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Immediate resolution of tonsillar herniation and severe cervicothoracic syringomyelia after third ventriculostomy for hydrocephalus caused by a brainstem tumor. Case report. AU - Raja,Ali I, AU - Adada,Badih, PY - 2007/1/20/pubmed PY - 2007/2/3/medline PY - 2007/1/20/entrez SP - 44 EP - 7 JF - Journal of neurosurgery JO - J Neurosurg VL - 106 IS - 1 Suppl N2 - The authors report the case of a patient who harbored a large intrinsic brainstem tumor associated with tonsillar herniation, hydrocephalus, and severe cervicothoracic syringomyelia. This 15-year-old girl had a 2-month history of progressively worsening headaches. Magnetic resonance imaging showed a large tumor in the dorsolateral brainstem accompanied by hydrocephalus as well as a cervicothoracic syrinx extending to the level of T-8. She underwent endoscopic third ventriculostomy that resulted in a marked decrease in the ventricle size as well as complete resolution of the syrinx and tonsillar herniation within 4 days. Clinical and neuroimaging findings of the case along with a pertinent literature review are presented. SN - 0022-3085 UR - https://www.unboundmedicine.com/medline/citation/17233312/Immediate_resolution_of_tonsillar_herniation_and_severe_cervicothoracic_syringomyelia_after_third_ventriculostomy_for_hydrocephalus_caused_by_a_brainstem_tumor__Case_report_ L2 - https://thejns.org/doi/10.3171/ped.2007.106.1.44 DB - PRIME DP - Unbound Medicine ER -