Bilateral papillary edema revealing aqueduct of Sylvius stenosis: about one case

Abstract

Purpose: to report a case of a 13 year-old-girl who presented with symptomatic papilledema revealing hydrocephalus due to congenital aqueductal stenosis. Observation: A 13-year-old-girl with no significant medical history presented with progressive bilateral vision loss and headaches over the previous two months. The corrected visual acuity was 4/10. Fundus examination showed bilateral papilledema. Neuro-imaging revealed supra-tentoriel hydrocephalus due to congenital aqueductal stenosis. An endoscopic ventriculostomy was performed. Conclusion: Congenital aqueductal stenosis is a cause of non-communicating hydrocephalus. Its most common clinical manifestation is intracranial hypertension. MRI is considered the best diagnosis method.