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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Main Author:	Shukla, Dhaval
Format:	Online
Language:	English
Published:	Medknow Publications & Media Pvt Ltd 2016
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4750309/

id	pubmed-4750309
recordtype	oai_dc
spelling	pubmed-47503092016-03-01 Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache Shukla, Dhaval Case Report 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. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4750309/ /pubmed/26933359 http://dx.doi.org/10.4103/0976-3147.172152 Text en Copyright: © Journal of Neurosciences in Rural Practice http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Shukla, Dhaval
spellingShingle	Shukla, Dhaval Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache
author_facet	Shukla, Dhaval
author_sort	Shukla, Dhaval
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
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.
publisher	Medknow Publications & Media Pvt Ltd
publishDate	2016
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4750309/
_version_	1613537338027147264

Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache

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