J Neurol Surg Rep 2015; 76(01): e109-e112
DOI: 10.1055/s-0035-1549225
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Entrapment of the Temporal Horn as a Cause of Pure Wernicke Aphasia: Case Report

Aldo Spallone
1   Section of Neurosurgery, Department of Clinical Neurosciences, Neurological Centre of Latium (NCL), Rome, Italy
2   Department of Biomedicine, University of Rome “Tor Vergata,” Rome, Italy
,
Daniele Belvisi
3   Neuromed Institute (IRCCS), Pozzilli (IS), Italy
,
Luca Marsili
1   Section of Neurosurgery, Department of Clinical Neurosciences, Neurological Centre of Latium (NCL), Rome, Italy
4   Department of Neurology and Psychiatry, “Sapienza” University of Rome, Viale dell'Università, Rome, Italy
› Author Affiliations
Further Information

Publication History

26 November 2014

13 January 2015

Publication Date:
13 May 2015 (online)

Abstract

Entrapment of the temporal horn is an extremely rare pathologic condition occurring as a result of surgery for tumors, intraventricular infections, hemorrhage, or traumatic events involving the peritrigonal area. We report a case of a 58-year-old man who presented with pure Wernicke aphasia (never described before in the albeit rare cases of isolated temporal horn dilatation) that regressed completely following successful ventriculoperitoneal shunting. The relevant literature is also briefly reviewed.

 
  • References

  • 1 Krähenbühl AK, Baldauf J, Gaab MR, Schroeder HW. Endoscopic temporal ventriculocisternostomy: an option for the treatment of trapped temporal horns. J Neurosurg Pediatr 2013; 11 (5) 568-574
  • 2 Smith H, Moody D, Ball M, Laster W, Kelly Jr DL, Alexander Jr E. The trapped temporal horn: a trap in neuroradiological diagnosis. Neurosurgery 1979; 5 (2) 245-249
  • 3 Maurice-Williams RS, Choksey M. Entrapment of the temporal horn: a form of focal obstructive hydrocephalus. J Neurol Neurosurg Psychiatry 1986; 49 (3) 238-242
  • 4 Tsugane R, Shimoda M, Yamaguchi T, Yamamoto I, Sato O. Entrapment of the temporal horn: a form of focal non-communicating hydrocephalus caused by intraventricular block of cerebrospinal fluid flow—report of two cases. Neurol Med Chir (Tokyo) 1992; 32 (4) 210-214
  • 5 Watanabe T, Katayama Y. Evaluation by magnetic resonance imaging of the entrapped temporal horn syndrome. J Neurol Neurosurg Psychiatry 1999; 66 (1) 113
  • 6 Parrent AG. Endoscopically guided fenestration of the choroidal fissure for treatment of trapped temporal horn. J Neurosurg 2000; 93 (5) 891-894
  • 7 Hervey-Jumper SL, Ziewacz JE, Heth JA, Sullivan SE. Frontal-to-temporal horn shunt as treatment for temporal horn entrapment. J Neurosurg 2010; 112 (2) 410-413
  • 8 Chen CC, Kasper EM, Zinn PO, Warnke PC. Management of entrapped temporal horn by temporal horn to prepontine cistern shunting. World Neurosurg 2013; 79 (2) 404.e7-404.e10
  • 9 Cairns H, Daniel P, Johnson RT, Northcroft GB. Localized hydrocephalus following penetrating wounds of the ventricle. Br J Surg 1947; 55 (Suppl. 01) 187-197
  • 10 Ofori-Kwakye SK, Wang AM, Morris JH, O'Reilly GV, Fischer EG, Rumbaugh CL. Septation and focal dilatation of ventricles associated with cryptococcal meningoencephalitis. Surg Neurol 1986; 25 (3) 253-260
  • 11 Schlitt M, Duvall ER, Bonnin J, Morawetz RB. Neurosarcoidosis causing ventricular loculation, hydrocephalus, and death. Surg Neurol 1986; 26 (1) 67-71
  • 12 Berhouma M, Abderrazek K, Krichen W, Jemel H. Apropos of an unusual and menacing presentation of neurosarcoidosis: the space-occupying trapped temporal horn. Clin Neurol Neurosurg 2009; 111 (2) 196-199