• Journal of neurosurgery · Sep 2004

    Case Reports

    Suprapineal recess: an alternate site for third ventriculostomy? Case report.

    • Roy Thomas Daniel, Gabriel Yin Foo Lee, and Peter Lawrence Reilly.
    • Department of Neurosurgery, Royal Adelaide South Hospital, Adelaide, Australia. roymercy@hotmail.com
    • J. Neurosurg. 2004 Sep 1;101(3):518-20.

    AbstractThis 30-year-old woman presented with clinical symptoms and signs of intracranial hypertension and Parinaud syndrome secondary to ventriculoperitoneal shunt dysfunction. Magnetic resonance (MR) imaging revealed gross triventricular hydrocephalus with a large suprapineal recess due to aqueductal stenosis. Using an endoscopic approach, a ventriculostomy was performed within the floor of the dilated suprapineal recess. Following this procedure the patient experienced alleviation of all her neurological symptoms and signs. Postoperative MR imaging and cerebrospinal fluid flow studies demonstrated a functioning ventriculostomy. The anatomy of the suprapineal recess and its suitability for endoscopic ventriculostomy are discussed.

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