{"id":343096,"date":"2015-05-30T02:00:00","date_gmt":"2015-05-30T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/signes-neuroradiologiques-et-traitement-neurochirurgical\/"},"modified":"2015-05-30T02:00:00","modified_gmt":"2015-05-30T00:00:00","slug":"signes-neuroradiologiques-et-traitement-neurochirurgical","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/signes-neuroradiologiques-et-traitement-neurochirurgical\/","title":{"rendered":"Signes neuroradiologiques et traitement neurochirurgical"},"content":{"rendered":"<p><strong><em>Description du cas : <\/em>Nous rapportons le cas d&#8217;un patient de 43 ans qui a subi une premi\u00e8re crise convulsive l&#8217;\u00e9t\u00e9 dernier. L&#8217;\u00e9valuation compl\u00e8te de l&#8217;\u00e9pilepsie n&#8217;a r\u00e9v\u00e9l\u00e9 aucun potentiel \u00e9pileptique. Dans le cadre de l&#8217;examen compl\u00e9mentaire, l&#8217;IRM a toutefois r\u00e9v\u00e9l\u00e9 de mani\u00e8re fortuite une nette hydroc\u00e9phalie occlusive avec st\u00e9nose proximale de l&#8217;aqueduc.<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p><strong>Diagnostic IRM : <\/strong>Le diagnostic IRM a montr\u00e9 des ventricules supratentoriels nettement \u00e9largis sur des clich\u00e9s axiaux T2-w avec un quatri\u00e8me ventricule \u00e9troit <strong>(Fig.&nbsp;1).<\/strong><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" size-full wp-image-5695\" alt=\"\" src=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0.jpg\" style=\"height:353px; width:600px\" width=\"1100\" height=\"648\" srcset=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0.jpg 1100w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-800x471.jpg 800w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-120x71.jpg 120w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-90x53.jpg 90w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-320x189.jpg 320w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb1_np3_s20_0-560x330.jpg 560w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><\/p>\n<p>Les clich\u00e9s sagittaux ont r\u00e9v\u00e9l\u00e9 une st\u00e9nose proximale de l&#8217;aqueduc avec un fort flow-void dans l&#8217;aqueduc. Les autres signes d&#8217;hydroc\u00e9phalie occlusive en cas de st\u00e9nose de l&#8217;aqueduc \u00e9taient <strong>(Fig. 2) :<\/strong><\/p>\n<p><strong>A) <\/strong>\u00c9l\u00e9vation et amincissement du corps calleux<br \/>\n<strong>B) <\/strong>\u00c9l\u00e9vation du toit du troisi\u00e8me ventricule<br \/>\n<strong>C) <\/strong>\u00c9largissement du r\u00e9cessus suprapin\u00e9al<br \/>\n<strong>D) <\/strong>Compression du plancher du troisi\u00e8me ventricule contre le dorsum sellae<br \/>\n<strong>E) <\/strong>\u00c9largissement du r\u00e9cessus infundibuli<br \/>\n<strong>F) <\/strong>Aplatissement et d\u00e9placement caudal du chiasma optique<br \/>\n<strong>G) <\/strong>Ballonnement de la lamina terminalis.<\/p>\n<p><img decoding=\"async\" class=\"size-full wp-image-5696 lazyload\" alt=\"\" data-src=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20.jpg\" style=\"--smush-placeholder-width: 1100px; --smush-placeholder-aspect-ratio: 1100\/845;height:461px; width:600px\" width=\"1100\" height=\"845\" data-srcset=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20.jpg 1100w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-800x615.jpg 800w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-120x92.jpg 120w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-90x68.jpg 90w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-320x246.jpg 320w, https:\/\/medizinonline.com\/wp-content\/uploads\/2015\/05\/abb2_np3_s20-560x430.jpg 560w\" data-sizes=\"(max-width: 1100px) 100vw, 1100px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" \/><\/p>\n<p><strong>Conclusion :<\/strong> apr\u00e8s la crise, l&#8217;IRM a r\u00e9v\u00e9l\u00e9 chez le patient une hydroc\u00e9phalie occlusive massive avec st\u00e9nose de l&#8217;aqueduc. On peut se demander si cette hydroc\u00e9phalie a provoqu\u00e9 les convulsions, mais on ne peut pas l&#8217;exclure. Sur la base de l&#8217;imagerie et de la symptomatologie, la recommandation et l&#8217;indication d&#8217;un traitement chirurgical dans le sens d&#8217;une ventriculocisternostomie endoscopique \u00e9taient claires. L&#8217;objectif de l&#8217;op\u00e9ration est d&#8217;\u00e9viter une \u00e9volution ult\u00e9rieure vers la d\u00e9mence et les sympt\u00f4mes de l&#8217;hydroc\u00e9phalie chronique.<\/p>\n<p>Litt\u00e9rature compl\u00e9mentaire :<\/p>\n<ul>\n<li>Spennato P, et al : Troisi\u00e8me ventriculostomie endoscopique pour st\u00e9nose aqueductale idiopathique. World Neurosurg 2013 Feb ; 79(2 Suppl) : S21.e13-20.<\/li>\n<\/ul>\n<p>\n<em>InFo NEUROLOGIE &amp; PSYCHIATRIE 2015 ; 13(3) : 20-21<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Description du cas : Nous rapportons le cas d&#8217;un patient de 43 ans qui a subi une premi\u00e8re crise convulsive l&#8217;\u00e9t\u00e9 dernier. L&#8217;\u00e9valuation compl\u00e8te de l&#8217;\u00e9pilepsie n&#8217;a r\u00e9v\u00e9l\u00e9 aucun potentiel&hellip;<\/p>\n","protected":false},"author":7,"featured_media":50964,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Hydroc\u00e9phalie occlusive en cas de st\u00e9nose proximale de l'aqueduc","footnotes":""},"category":[11541,11383,11492,11549],"tags":[46099,13999,41593,27551,46104],"powerkit_post_featured":[],"class_list":["post-343096","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cases-fr","category-neurologie-fr","category-radiologie-fr","category-rx-fr","tag-crise-convulsive","tag-epilepsie-fr","tag-hydrocephalie-occlusive","tag-irm-fr","tag-stenose-de-laqueduc","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-06 16:15:36","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":343260,"slug":"segni-neuroradiologici-e-trattamento-neurochirurgico","post_title":"Segni neuroradiologici e trattamento neurochirurgico","href":"https:\/\/medizinonline.com\/it\/segni-neuroradiologici-e-trattamento-neurochirurgico\/"},"pt_PT":{"locale":"pt_PT","id":343271,"slug":"sinais-neurorradiologicos-e-tratamento-neurocirurgico","post_title":"Sinais neurorradiol\u00f3gicos e tratamento neurocir\u00fargico","href":"https:\/\/medizinonline.com\/pt-pt\/sinais-neurorradiologicos-e-tratamento-neurocirurgico\/"},"es_ES":{"locale":"es_ES","id":343103,"slug":"signos-neurorradiologicos-y-tratamiento-neuroquirurgico","post_title":"Signos neurorradiol\u00f3gicos y tratamiento neuroquir\u00fargico","href":"https:\/\/medizinonline.com\/es\/signos-neurorradiologicos-y-tratamiento-neuroquirurgico\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/343096","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=343096"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/343096\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media\/50964"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=343096"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=343096"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=343096"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=343096"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}