Keyhole Aqueduct Syndrome.

Aqueduct Keyhole Syringomesencephalia

Journal

Neuroradiology
ISSN: 1432-1920
Titre abrégé: Neuroradiology
Pays: Germany
ID NLM: 1302751

Informations de publication

Date de publication:
24 Jun 2024
Historique:
received: 08 01 2024
accepted: 12 06 2024
medline: 24 6 2024
pubmed: 24 6 2024
entrez: 23 6 2024
Statut: aheadofprint

Résumé

Keyhole aqueduct syndrome is a rare progressive neurodegenerative disorder describing a unique set of neuro-ophthalmologic, neuroimaging, and histopathological findings on autopsy. A midline mesencephalic cleft communicating with the cerebral aqueduct resembling syrinx is seen on imaging and histopathology. There are 9 cases published in the literature. We encountered a patient with vertical nystagmus, internuclear ophthalmoplegia, and progressive ataxia who has a midline cleft connecting the cerebral aqueduct with the interpeduncular cistern highlighting a distinguishing feature of this syndrome.

Identifiants

pubmed: 38910174
doi: 10.1007/s00234-024-03408-w
pii: 10.1007/s00234-024-03408-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

Références

Oh AJ, Lanzman BA, Liao YJ (2018) Vertical diplopia and oscillopsia due to midbrain keyhole aqueduct syndrome associated with severe cough. Am J Ophthalmol Case Rep 10:128–131
doi: 10.1016/j.ajoc.2018.02.009 pubmed: 29687086 pmcid: 5910451
Ahmad O, Reddel S, Lueck CJ (2010) Midbrain cleft as a cause of chronic internuclearophthalmoplegia, progressive ataxia, and facial weakness. J Neuro Ophthalmol 30:145–149
doi: 10.1097/WNO.0b013e3181da2ceb
Burgett RA, Kawasaki A (1997) Mesencephalic clefts and eye movement disorders. Arch Ophthalmol 115:824
doi: 10.1001/archopht.1997.01100150826036 pubmed: 9194747
Lagreze WD, Warner JE, Zamani AA, Gouras GK, Koralnik IJ, Bienfang DC (1996) Mesencephalic clefts with associated eye movement disorders. Arch Ophthalmol 114:429–432
doi: 10.1001/archopht.1996.01100130425012 pubmed: 8602780
de la Monte SM, Horowitz SA, Larocque AA, Richardson EP Jr (1986) Keyhole aqueduct syndrome. Arch Neurol 43:926–929
doi: 10.1001/archneur.1986.00520090056017 pubmed: 3741209
Samples JR, Howard FM Jr, Okazaki H (1983) Syringomesencephalia. Report of a case. Arch Neurol 40:757–759
doi: 10.1001/archneur.1983.04050110075015 pubmed: 6625993
Fredericks EJ, Van Nuis C (1967) Diverticulum of the rostral cerebral aqueduct with ocular dysfunctions. Arch Neurol 16:32–36
doi: 10.1001/archneur.1967.00470190036004 pubmed: 5297893
Chen CM, Lin SH (2007) Wall-eyed bilateral internuclear ophthalmoplegia from lesions at different levels in the brainstem. J Neuro Ophthalmol 27:9–15
doi: 10.1097/WNO.0b013e3180334e8d
Anderson DC, Bundlie S, Larson DA, Rocksworld G, Mastri A (1988) Delayed traumatic midbrain Syrinx. Arch Neurol 45:221–225
doi: 10.1001/archneur.1988.00520260113030 pubmed: 3341938
Pramila PJ, Mannam P, Chacko AG, Benjamin RN (2021) Progressive midbrain clefts after head trauma and decompressive surgery: a report of two patients. BMJ Case Rep 14:e238893. https://doi.org/10.1136/bcr-2020-238893
doi: 10.1136/bcr-2020-238893 pubmed: 33526531 pmcid: 7853034

Auteurs

Imad Zak (I)

Department of Radiology, Wayne State University-John D. Dingell VA Medical Center, 4646 John R Street, Detroit, MI, 48201, USA. izak@wayne.edu.

Shahram Hadidchi (S)

Department of Radiology, Wayne State University-Detroit Medical Center, Detroit, USA.

Philip Ross (P)

Department of Neurology, Wayne State University-John D. Dingell VA Medical Center, Detroit, USA.

Classifications MeSH