Slit ventricle syndrome: A case report of intermittent intracranial hypertension

Nitin Agarwal, Eric Vernier, Sheri Ravenscroft, Lauren Schwartz, James Oleske, Xue Ming

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Slit ventricle syndrome is a rare condition whereby brain compliance is reduced and can be associated with intermittent intracranial hypertension. A 19-year-old male with a ventriculoperitoneal shunt for congenital hydrocephalus presented with a 1-day history of headache and drowsiness-symptoms from which he suffered in many recurrent episodes over the past 5 years. The improvement of headaches without surgical intervention led to the diagnosis of migraine. During this hospitalization, episodes of intermittent intracranial hypertension were documented along with the remission and relapse of the symptoms. While the patient's intracranial pressure was within normal range in over 90% of his monitoring period, which postponed shunting, replacement of his ventriculoperitoneal shut eventually resolved his symptoms. Slit ventricle syndrome with reduced ventricular compliances should be considered in patients with clinical evidence of intermittent intracranial hypertension and small ventricular size. The authors advocate shunt replacement as an appropriate treatment for this condition.

Original languageEnglish (US)
Pages (from-to)781-783
Number of pages3
JournalJournal of Child Neurology
Volume28
Issue number6
DOIs
StatePublished - Jun 2013

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

Keywords

  • hydrocephalus
  • intermittent intracranial hypertension
  • slit ventricle syndrome
  • ventriculoperitoneal shunt

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