Endoscopic aqueductoplasty through a tailored craniocervical approach

Gawish, I; Reisch, Róbert; Perneczky, Axel

doi:10.3171/jns.2005.103.5.0778

Cited by 27 publications

(8 citation statements)

References 30 publications

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“…In some selected cases, this endoscopic approach has been used in the management of obstructive hydrocephalus due to aqueduct obstruction, reestablishing the free communication between the third and fourth ventricle [4,14,41]. However, this approach via the foramen of Magendie limits the introduction and manipulation of other surgical tools within the lateral recesses of the fourth ventricle; these limits are overcome with the telovelar approach.…”

Section: Discussionmentioning

confidence: 98%

Endoscopic telovelar approach to the fourth ventricle: anatomic study

Ieva

Komatsu

et al. 2011

Neurosurg Rev

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The telovelar approach allows reliable access to the fourth ventricle and avoids the splitting of the vermis and its associated "posterior vermal split syndrome." Our objective was to describe the endoscopic topographical anatomy of the telovelum approach to the fourth ventricle as accessed by the cerebellomedullary corridor. A series of 20 fresh and fixed injected anatomical specimens were used. The endoscopic equipment consisted of rigid endoscopes with different lens angles, while the extradural step required the use of the microscope and/or the exoscope. All the anatomical landmarks and relationships within the fourth ventricle and the cerebellomedullary fissure were identified by means of the endoscopic microscope/exoscope-assisted telovelar approach. In conclusion, we showed that the endoscope is a valid tool to gain an anatomic understanding of the fourth ventricle reached by means of the telovelar approach.

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Section: Discussionmentioning

confidence: 98%

Endoscopic telovelar approach to the fourth ventricle: anatomic study

Ieva

Komatsu

et al. 2011

Neurosurg Rev

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“…On the other hand, we are convinced it is the ideal treatment in case of TFV where the fourth ventricle is large and the length of the aqueductal stenosis is minimal. [33,34] A review of the literature of the surgical series reporting the endoscopic treatment of TFV found 13 studies with 64 patients. [12][13][14]30,31,[35][36][37][38][39][40][41] The majority of the papers reported the experience with a single case or few cases; a suboccipital approach was selected only in 17 patients [ Table 2].…”

Section: Discussionmentioning

confidence: 99%

The endoscopic trans-fourth ventricle aqueductoplasty and stent placement for the treatment of trapped fourth ventricle: Long-term results in a series of 18 consecutive patients

et al. 2012

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“…Although experiences with endoscopic exploration of the fourth ventricle have seldom been reported, 1,4,6,8,12,16,19 and therefore this issue does not represent an absolute nov elty, to our knowledge no investigator has focused on the endoscopic identification of the structures encountered during fourth ventricle navigation. Many theoretical objections to the transaqueductal navigation of the fourth ventricle could be raised, but in practice it proves relatively easy and harmless; the clinical aspects of the approach have been discussed elsewhere.…”

Section: Discussionmentioning

confidence: 99%