Obstructive Hydrocephalus Secondary to Enlarged Virchow-Robin Spaces: A Rare Cause of Pulsatile Tinnitus

Christopher Donaldson, Gurkirat Chatha, Ronil V. Chandra, Tony Goldschlager

Research output: Contribution to journalArticleOtherpeer-review

2 Citations (Scopus)


Background Obstructive hydrocephalus secondary to enlarged Virchow-Robin Spaces (VRS) is a rare entity, with only a few cases reported in the literature. Presenting symptoms vary widely from headaches to dizziness. Case Description We report a case of a 31-year-old man who presented with pulsatile tinnitus and magnetic resonance imaging showing obstructive hydrocephalus secondary to tumefactive VRS. After a cerebrospinal fluid diversion procedure in the form of an endoscopic third ventriculostomy, he had almost complete resolution of his symptoms. Conclusions This is the first case of obstructive hydrocephalus secondary to enlarged VRS, presenting with pulsatile tinnitus.

Original languageEnglish
Article number815.e1
Pages (from-to)815.e1-815.e3
Number of pages3
JournalWorld Neurosurgery
Publication statusPublished - 1 May 2017


  • Obstructive hydrocephalus
  • Pulsatile tinnitus
  • Virchow-Robin space

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