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Hydrocephalus in aqueductal stenosis.
[hydrocephalus with stenosis of the aqueduct of sylvius]
The
sylvian
aqueduct
is
the
most
common
site
of
intraventricular
blockage
of
the
cerebro-
spinal
fluid
.
Clinical
aspects
,
neuroradiological
appearance
,
and
treatment
of
hydrocephalus
secondary
to
aqueductal
stenosis
are
specific
.
An
extensive
literature
review
concerning
etiologic
,
pathogenetic
,
clinical
,
and
neuroradiological
aspects
has
been
performed
.
Therapeutic
options
,
prognosis
,
and
intellectual
outcome
are
also
reviewed
.
The
correct
interpretation
of
the
modern
neuroradiologic
techniques
may
help
in
selecting
adequate
treatment
between
the
two
main
options
(
third
ventriculostomy
or
shunting
)
.
In
the
last
decades
,
endoscopic
third
ventriculostomy
has
become
the
first
-line
treatment
of
aqueductal
stenosis
;
however
,
some
issues
,
such
as
the
cause
of
failures
in
well
selected
patients
,
long
-term
outcome
in
infant
treated
with
ETV
,
and
effect
of
persistent
ventriculomegaly
on
neuropsychological
developmental
,
remain
unanswered
.
Diseases
Validation
Diseases presenting
"remain unanswered"
symptom
hydrocephalus with stenosis of the aqueduct of sylvius
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