Hidrocefalia multiloculada: relato de dois casos

Guerreiro, Marilisa M.; Facure, Nubor O.; Silva, Ednéa A.

doi:10.1590/S0004-282X1988000300013

Resumos

Hidrocefalia multiloculada é conceituada como quadro clínico-patológico que consiste de ventrículos aumentados e loculados e de cavidades porencefálicas paraventriculares. Apresentamos dois casos de hidrocefalia multiloculada, um provavelmente conseqüente a processo infeccioso do sistema nervoso central e outro em decorrência de malformação congênita. Aspectos tomográficos compatíveis ao diagnóstico são ressaltados. A etiopatogenia, o tratamento e o prognóstico são discutidos em face da literatura compulsada.

Multiloculated hydrocephalus is a clinicopathological entity consisting of enlarged, loculated ventricles and paraventricular poroencephalic cavities. We present two cases of multiloculated hydrocephalus: one due to infectious process of central nervous system and the other consequent to a congenital malformation. Tomographic aspects of this condition that permit the diagnosis are stressed. The pathophysiology, the management and the prognosis are discussed according to the available literature.

Marilisa M. Guerreiro^I; Nubor O. Facure^II; Ednéa A. Silva^III

^IProfessora Assistente - Departamento de Neurologia da Faculdade de Ciências Médicas da UNICAMP

^IIProfessor Adjunto - Departamento de Neurologia da Faculdade de Ciências Médicas da UNICAMP

^IIIMédica Residente de Neuropediatria - Departamento de Neurologia da Faculdade de Ciências Médicas da UNICAMP

RESUMO

Hidrocefalia multiloculada é conceituada como quadro clínico-patológico que consiste de ventrículos aumentados e loculados e de cavidades porencefálicas paraventriculares. Apresentamos dois casos de hidrocefalia multiloculada, um provavelmente conseqüente a processo infeccioso do sistema nervoso central e outro em decorrência de malformação congênita. Aspectos tomográficos compatíveis ao diagnóstico são ressaltados. A etiopatogenia, o tratamento e o prognóstico são discutidos em face da literatura compulsada.

SUMMARY

Multiloculated hydrocephalus is a clinicopathological entity consisting of enlarged, loculated ventricles and paraventricular poroencephalic cavities. We present two cases of multiloculated hydrocephalus: one due to infectious process of central nervous system and the other consequent to a congenital malformation. Tomographic aspects of this condition that permit the diagnosis are stressed. The pathophysiology, the management and the prognosis are discussed according to the available literature.

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Departamento de Neurologia, UNICAMP - Caixa Postal 1110 - 13100 Campinas SP - Brasil

1. Albanese V, Tomasello F, Sampaolo S - Multiloculated hydrocephalus in infants. Neurosurgery 8: 641, 1981.
2. Albanese V, Tomasello F, Sampaolo S, Picozzi P - Neuroradiological findings in multiloculated hydrocephalus. Acta Neurochir 60: 297, 1982.
3. Berman PH, Banker BQ - Neonatal meningitis. Pediatrics 38: 6, 1966.
4. Brown LW, Zimmerman RA, Bilaniuk LT - Polycystic brain disease complicating neonatal meningitis: documentation of evolution by computed tomography. J Pediatrics 5: 757, 1979.
5. Handler LC, Wright MGE - Postmeningitic hydrocephalus in infancy. Neuroradiology 16: 31, 1978.
6. Kalsbeck JE, DeSouza AL, Kleiman MB ( Goodman JM, Franken EA - Compartmentalization of the cerebral ventricles as a sequela of neonatal meningitis. J Neurosurg 52: 547, 1980.
7. Lee EL, Robinson MJ, Thong ML, Puthucheary SD, Ong TH, NG KK - Intraventricular chemotherapy in neonatal meningitis. J Pediatrics 91: 991, 1977.
8. Leeds NE, Goldberg HI - Angiographic manifestations n cerebral inflammatory disease. Radiology 98: 595, 1971.
9. Lorber J, Pickering D - Incidence and treatment of post-meningitic hydrocephalus in the newborn. Arch Dis Childh 41: 44, 1966.
10. Rhoton AL, Gomez MR - Conversion of multilocular hydrocephalus to unilocular. J Neurosurg 36: 348, 1972.
11. Salmon JH - Isolated unilateral hydrocephalus following ventriculoatrial shunt. J Neur rosurg 32: 219, 1970.
12. Salmon JH - Ventriculitis complicating meningitis. Amer J Dis Child 124: 35, 1972.
13. Savolaine ER, Gerber AM - Computerized tomography studies of congenital and acquired cerebral intraventricular membranes. J Neurosurg 54: 388, 1981.
14. Schultz P, Leeds NE - Intraventricular septations complicating neonatal meningitis. J Neurosurg 38: 620, 1973.
15. Snyder RD, Stovring J - The follow-up CT scan in childhood meningitis. Neuroradiology 16: 22, 1978.
16. Swick HM, Sty JR - Pediatric metrizamide ventriculography. Arch Neurol 37: 582, 1980.
17. Taboada D, Olagüe R, Alonso A, Mulas F, Andrés V - Radiological diagnosis of periventricular and subcortical leukomalacia. Neuroradiology 20: 33, 1980.

Hidrocefalia multiloculada: relato de dois casos

Multiloculated hydrocephalus: report of two cases

Datas de Publicação

Publicação nesta coleção
17 Jun 2011
Data do Fascículo
Set 1988

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Albanese V, Tomasello F, Sampaolo S - Multiloculated hydrocephalus in infants. Neurosurgery 8: 641, 1981.

[2] 2. Albanese V, Tomasello F, Sampaolo S, Picozzi P - Neuroradiological findings in multiloculated hydrocephalus. Acta Neurochir 60: 297, 1982.

[3] 3. Berman PH, Banker BQ - Neonatal meningitis. Pediatrics 38: 6, 1966.

[4] 4. Brown LW, Zimmerman RA, Bilaniuk LT - Polycystic brain disease complicating neonatal meningitis: documentation of evolution by computed tomography. J Pediatrics 5: 757, 1979.

[5] 5. Handler LC, Wright MGE - Postmeningitic hydrocephalus in infancy. Neuroradiology 16: 31, 1978.

[6] 6. Kalsbeck JE, DeSouza AL, Kleiman MB ( Goodman JM, Franken EA - Compartmentalization of the cerebral ventricles as a sequela of neonatal meningitis. J Neurosurg 52: 547, 1980.

[7] 7. Lee EL, Robinson MJ, Thong ML, Puthucheary SD, Ong TH, NG KK - Intraventricular chemotherapy in neonatal meningitis. J Pediatrics 91: 991, 1977.

[8] 8. Leeds NE, Goldberg HI - Angiographic manifestations n cerebral inflammatory disease. Radiology 98: 595, 1971.

[9] 9. Lorber J, Pickering D - Incidence and treatment of post-meningitic hydrocephalus in the newborn. Arch Dis Childh 41: 44, 1966.

[10] 10. Rhoton AL, Gomez MR - Conversion of multilocular hydrocephalus to unilocular. J Neurosurg 36: 348, 1972.

[11] 11. Salmon JH - Isolated unilateral hydrocephalus following ventriculoatrial shunt. J Neur rosurg 32: 219, 1970.

[12] 12. Salmon JH - Ventriculitis complicating meningitis. Amer J Dis Child 124: 35, 1972.

[13] 13. Savolaine ER, Gerber AM - Computerized tomography studies of congenital and acquired cerebral intraventricular membranes. J Neurosurg 54: 388, 1981.

[14] 14. Schultz P, Leeds NE - Intraventricular septations complicating neonatal meningitis. J Neurosurg 38: 620, 1973.

[15] 15. Snyder RD, Stovring J - The follow-up CT scan in childhood meningitis. Neuroradiology 16: 22, 1978.

[16] 16. Swick HM, Sty JR - Pediatric metrizamide ventriculography. Arch Neurol 37: 582, 1980.

[17] 17. Taboada D, Olagüe R, Alonso A, Mulas F, Andrés V - Radiological diagnosis of periventricular and subcortical leukomalacia. Neuroradiology 20: 33, 1980.