Abstract
A 29-year-old male made unsuccessful suicide by hanging. Instead he fell causing brain injury. After cranial surgery and rehabilitation the patient was re-admitted with vertical gaze paresis and unsteady gait. MRI revealed a cystic formation in the mesencephalon. Due to neurological deterioration, growing of the cystic formation within mesencephalon, and signs of posttraumatic hydrocephalus, a ventriculo-peritoneal shunt-system was implanted and a dilatation of the aqueduct was performed. Despite these measures there were ongoing neurological deterioration and increasing of the cystic formation.
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