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Adult Aqueductal Stenosis
H. A. WILKINSON, MD;
M. LeMAY, MD;
J. H. DREW, MD
Arch Neurol. 1966;15(6):643-648.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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HYDROCEPHALUS secondary to aqueductal stenosis is predominantly a disorder of childhood, though its occurrence in adults is well known.1-6 Pennybacker5 describes distinct "juvenile" and "adult" syndromes of aqueductal stenosis, but clinical manifestations vary widely. Asymptomatic cases have been found at routine postmortem examination. Kernohan and Sayre7 consider that "gliomas strategically placed in the aqueduct of Sylvius are in all probability the smallest tumors in the human body that lead to the death of the patient." More commonly the stenosis proves to be of nonneoplastic origin.8 Two patients we have seen during the past year fall in this latter category.
Report of Cases
CASE 1.—This 52-year-old canteen checker (BVAH#071060) noted onset of slowly progressive gait disturbance in 1958, shortly following the death of his mother, to whom he was closely attached. His wife complained of the patient's gradually failing ability to perform sexually. He
. . . [Full Text PDF of this Article]
Author Affiliations
BOSTON AND CAMBRIDGE, MASS
From the departments of neurosurgery at the Boston Veterans Hospital and Massachusetts General Hospital, and the departments of radiology at the Boston Veterans Administration Hospital and Harvard University Health Services, Cambridge, Mass.
Footnotes
Submitted for publication March 19,1966; accepted July 25.
Reprint requests to Harvard University Health Services, 75 Mt Auburn St, Cambridge, Mass 02138 (Dr. LeMay).
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