Brainstem herniation into the internal acoustic canal secondary to hydrocephalus in context of spontaneous cerebrospinal fluid otorrhea: report of a novel entity

作者：Gragnaniello Cristian^*; Myseros John S; Taheri Reza; Monfared Ashkan

来源：Child's Nervous System, 2018, 34(2): 349-352.

DOI：10.1007/s00381-017-3593-9

• Brainstem herniation
• Hydrocephalus
• Cerebrospinal fluid
• CSF leak

Introduction and clinical presentation The authors report a case of a 5-year-old boy presenting with vision loss, right-sided hearing loss, and facial paralysis secondary to hydrocephalus causing brainstem herniation into the internal auditory canal (IAC) following cerebrospinal fluid (CSF) otorrhea. Management and outcome After placement of a ventriculoperitoneal shunt (VP shunt), the vision and facial palsy improved whilst hearing loss persisted. Imaging demonstrated partial reduction of the herniated brainstem and resolution of hydrocephalus. To our knowledge, this is the first case reported of brainstem herniation into the internal auditory canal.

• 出版日期2018-2