Cerebral infarction after neuroendoscopic third ventriculostomy: case report

Abstract

Objective and importance: This case illustrates an unusual complication of neuroendoscopic third ventriculostomy.

Clinical presentation: A 30-year-old man with established hydrocephalus was treated with neuroendoscopic third ventriculostomy during which bleeding occurred from a vessel deep in the floor of the third ventricle. He subsequently had a third nerve palsy and developed frontal lobe infarction.

Intervention: The complication was treated conservatively. The patient subsequently required shunting.

Conclusion: The cause of the infarction is discussed. The general issue of complications of this procedure is explored with a call for more open reporting of such occurrences.