CASE REPORT article
Front. Med.
Sec. Precision Medicine
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1411371
This article is part of the Research TopicRare and Misdiagnosed Neurosurgical Conditions Volume IIView all 6 articles
Individualized Retrograde Endoscopic Transoccipital-Fourth Ventricular-Midbrain Aqueduct to Third and Lateral Ventriculoperitoneal Shunt for Complex Multilocular Hydrocephalus with Isolated Fourth Ventricle: A Case Report
Provisionally accepted
- 960th Hospital of the PLA, Jinan, China
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Hydrocephalus is a condition frequently encountered in neurosurgery. An isolated fourth ventricle represents one of the most challenging forms of hydrocephalus. Currently, there are few clinically mature single-session surgical solutions available for the treatment of complex hydrocephalus with an isolated fourth ventricle that exhibits both obstructive and communicating features. Herein, we report a case of complex hydrocephalus with an isolated fourth ventricle treated with an endoscopic transmesencephalic aqueduct retrograde shunt. The patient recovered well postoperatively, with significant improvement in hydrocephalus symptoms. Based on a thorough analysis of the etiology, we suggest that shunt surgery using an endoscopic transoccipital-fourth ventricle-midbrain aqueductthird ventricle-lateral ventricle retrograde approach can be applied to patients with complex hydrocephalus, using an individualized plan. The successful treatment in our case provides a reference for the management of patients with complex hydrocephalus and an isolated fourth ventricle.
Keywords: Endoscopic Surgery, Hydrocephalus, individualized therapy, Isolated fourth ventricle, Retrograde shunt
Received: 02 Apr 2024; Accepted: 05 May 2025.
Copyright: © 2025 Wang, Wang, Liu, Ma and Zhu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Bodong Wang, 960th Hospital of the PLA, Jinan, China
Weijie Zhu, 960th Hospital of the PLA, Jinan, China
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