Keywords
Isolated fourth ventricle
Trapped fourth ventricle
Fourth ventricular shunting
Endoscopic procedures
Paediatric Neurosurgery
Post-haePost-haemorrhagic hydrocephaly
Post-infectious hydrocephaly
Prematurity
case report
neonate
Trapped fourth ventricle
Fourth ventricular shunting
Endoscopic procedures
Paediatric Neurosurgery
Post-haePost-haemorrhagic hydrocephaly
Post-infectious hydrocephaly
Prematurity
case report
neonate
Categories
How to Cite
Poelmans, D., De Paepe, J., Van Der Heggen, T., Govaert, P., & van Paesschen, R. (2024). Trapped fourth ventricle: Case report and narrative review. Belgian Journal of Paediatrics, 25(4), 296–299. Retrieved from https://belgjpaediatrics.com/index.php/bjp/article/view/216
Abstract
A trapped fourth ventricle is a rare complication following successful shunting of cerebrospinal fluid from the lateral ventricles in patients with acquired post-haemorrhagic or post-infectious hydrocephalus. Inadequate drainage combined with ongoing cerebrospinal fluid production leads to progressive enlargement of the fourth ventricle with compression of surrounding anatomical structures. We present the case of a four-month-old girl born extremely prematurely at 25 weeks with bilateral intraventricular haemorrhage whose management was complicated by the rare combination of trapped fourth ventricle and subsequent multiloculated posterior fossa hydrocephalus, presenting a neurosurgical dilemma.