Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache
Asymmetric ventriculomegly due to idiopathic occlusion of the foramen of Monro is rare. Such patients present with clinical features of raised intracranial pressure (ICP). Presentation as chronic headache has not been previously described. In the absence of raised ICP, pursuing surgical treatment ra...
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.172152 |
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doaj-0ee949d443de49fca968fc43f9d06fb22021-04-02T12:08:46ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neurosciences in Rural Practice0976-31470976-31552016-01-0170112813010.4103/0976-3147.172152Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headacheDhaval Shukla0Department of Neurosurgery, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, IndiaAsymmetric ventriculomegly due to idiopathic occlusion of the foramen of Monro is rare. Such patients present with clinical features of raised intracranial pressure (ICP). Presentation as chronic headache has not been previously described. In the absence of raised ICP, pursuing surgical treatment raises a clinical dilemma as the headache may be a primary headache with no improvement after surgery. A 21-year-old woman presented with chronic headache. She was found to have asymmetric ventriculomegaly due to the occlusion of the foramen of Monro. She underwent endoscopic septostomy and widening of the foramen of Monro. Her headache subsided after surgery. At 15 months of follow-up, she was free from headache without medications. Unilateral occlusion of the foramen of Monro can present with asymmetric ventriculomegaly resulting in chronic headache. Though the symptoms of raised ICP may not be present, still endoscopic relief of ventriculomegaly leads to cure of headache.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.172152foramen of monroforaminoplastyhydrocephalusneuroendoscopyseptostomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dhaval Shukla |
spellingShingle |
Dhaval Shukla Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache Journal of Neurosciences in Rural Practice foramen of monro foraminoplasty hydrocephalus neuroendoscopy septostomy |
author_facet |
Dhaval Shukla |
author_sort |
Dhaval Shukla |
title |
Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache |
title_short |
Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache |
title_full |
Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache |
title_fullStr |
Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache |
title_full_unstemmed |
Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache |
title_sort |
neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of monro presenting as chronic headache |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
series |
Journal of Neurosciences in Rural Practice |
issn |
0976-3147 0976-3155 |
publishDate |
2016-01-01 |
description |
Asymmetric ventriculomegly due to idiopathic occlusion of the foramen of Monro is rare. Such patients present with clinical features of raised intracranial pressure (ICP). Presentation as chronic headache has not been previously described. In the absence of raised ICP, pursuing surgical treatment raises a clinical dilemma as the headache may be a primary headache with no improvement after surgery. A 21-year-old woman presented with chronic headache. She was found to have asymmetric ventriculomegaly due to the occlusion of the foramen of Monro. She underwent endoscopic septostomy and widening of the foramen of Monro. Her headache subsided after surgery. At 15 months of follow-up, she was free from headache without medications. Unilateral occlusion of the foramen of Monro can present with asymmetric ventriculomegaly resulting in chronic headache. Though the symptoms of raised ICP may not be present, still endoscopic relief of ventriculomegaly leads to cure of headache. |
topic |
foramen of monro foraminoplasty hydrocephalus neuroendoscopy septostomy |
url |
http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.172152 |
work_keys_str_mv |
AT dhavalshukla neuroendoscopictreatmentofidiopathicocclusionofunilateralforamenofmonropresentingaschronicheadache |
_version_ |
1721570005002223616 |