Abstract
Hydrocephalus secondary to bone remodeling of cranial base in Paget’s disease is rare with few cases reported in the post TC era. There were not previous reports of endoscopic assisted ventriculo peritoneal shunts in these cases. We describe an elderly lady, diagnosed to have Paget’s disease who suffered dementia, gait disturbances and urinary incontinence. Obstructive hydrocephalus secondary to cranial base crowding was present. Fibreoptic intubation was doing and an endoscopic assisted occipital ventriculo-peritoneal shunt was inserted. She improved immediately following CSF diversion. Hydrocephalus in Paget’s disease is an uncommon and challenging complication. Timely surgery yields good results. There are some anesthetic and surgical precautions that we need to take account in order to ensure good results. Endoscopic visualization ensures an optimal colocation of ventricular catheter far too choroid plexus minimizing the risk of shunt failure and a subsequent reintervention in these difficult cases.
Citation
García JC, Álvarez AMG, Pérez IM and Aparicio-García C. Endoscopic assisted Occipital Ventriculo?Peritoneal Shunt for Pagetoid Hydrocephalus. SM Min Inv Surg. 2018; 2(1): 1009.