Endoscopic third ventriculostomy

Farin, Azadeh; Aryan, Henry E.; Ozgur, Burak M.; Parsa, Andrew T.; Levy, Michael L.

doi:10.1016/j.jocn.2005.11.029

Cited by 25 publications

(15 citation statements)

References 110 publications

(156 reference statements)

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“…23 In general, it has been reported that complication and mortality rates decrease with increased surgeon experience and are lower compared with open procedures in experienced hands. 47,66,67 A qualitative analysis of our study did show that complication rates marginally decreased as surgeon experience increased, but it is important to note that equipment quality also improved over the course of the series. There were also more adult cases done later in the series, which may have contributed to the lower, albeit nonsignificant, complication rate in adult versus pediatric patients (4.2% vs 5.7%).…”

Section: Hydrocephalusmentioning

confidence: 68%

“…25,[42][43][44][45] The most common indication for ETV is aqueductal stenosis, either from congenital narrowing of the aqueduct or obstructive tumors such as tectal gliomas 46 and obstructive cysts. 47,48 Other indications include the fenestration of loculated compartments, 49,50 ventriculoperitoneal shunt malfunction, 26,27 and preresectional ETV for posterior fossa tumors. 51 Yet another potential role for ETV is in the realm of communicating hydrocephalus 52 -specifically normal pressure hydrocephalus 53,54 -although these remain controversial indications.…”

Section: Hydrocephalusmentioning

confidence: 99%

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Comparison of Intracranial Neuroendoscopic Procedures in Children versus Adults

Girgis

Diaz

Hader

et al. 2015

Can. J. Neurol. Sci.

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Background: The emphasis regarding intracranial neuroendoscopy has been traditionally advocated and focused on the role in pediatric patients, although a significant usage has developed in adult patients. In this study, we examine and contrast the role of predominantly intracranial neuroendoscopy in both a pediatric and adult population with a minimum postprocedure follow-up of 5 years. Methods: A retrospective review was conducted for patients in the two hospitals that manage neurosurgical care for Southern Alberta, Canada, undergoing neuroendoscopic surgery between 1994 and 2008. The pediatric group was defined as age ≤17 years and the adult group as age ≥18 years. Results: A total of 273 patients who underwent a total of 330 procedures with a mean postprocedure follow-up of 12.9 years were identified. There were 161 adult and 112 pediatric patients, and both groups underwent surgery by the same surgeons. The most common procedure was endoscopic third ventriculostomy, accounting for 55% of procedures. One postoperative death occurred in an adult patient. Endoscopic third ventriculostomy success 1-year postprocedure was 81%, with only three late-term failures. Postoperative infection was the most common serious complication (two pediatric/four adult patients). Adult and pediatric patients had similar major complication rates (4.2% vs 5.7%, p = 0.547). Conclusions: Neuroendoscopy overall had a similar role in both pediatric and adult neurosurgical populations, with the most commonly associated complication being infection. Neuroendoscopy is an important therapeutic modality in the management of appropriate adult patients.RÉSUMÉ: Comparaison des interventions neuroendoscopiques intracrâniennes chez les enfants et chez les adultes. Contexte: Traditionnellement, l'emphase a été mise sur la neuroendoscopie intracrânienne chez les enfants et sur son rôle dans cette population de patients. Cependant, de telles interventions sont de plus en plus pratiquées chez des adultes. Nous examinons le rôle de la neuroendoscopie tant chez les enfants que chez les adultes et nous comparons son rôle dans ces deux populations de patients. Méthode: Nous avons procédé à une revue rétrospective des dossiers de patients ayant subi une chirurgie par neuroendoscopie entre 1994 et 2008 dans deux hôpitaux qui offrent des soins neurochirurgicaux dans la partie sud de l'Alberta, au Canada. Les patients du groupe pédiatrique étaient âgés de 17 ans ou moins et ceux du groupe adulte de 18 ans ou plus. Le suivi le plus court après l'intervention était de 5 ans. Résultats: Nous avons identifié 273 patients, dont 161 adultes et 112 enfants, qui ont subi au total 330 interventions, et chez qui un suivi moyen de 12,9 ans était disponible. Les deux groupes de patients ont été opérés par les mêmes chirurgiens. L'intervention la plus fréquemment effectuée était la ventriculostomie au niveau du 3e ventricule, ce qui représentait 5% des interventions. Un patient adulte est décédé en période post-opératoire. La ventriculostomie du 3e ventricule p...

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Section: Hydrocephalusmentioning

confidence: 68%

Section: Hydrocephalusmentioning

confidence: 99%

Comparison of Intracranial Neuroendoscopic Procedures in Children versus Adults

Girgis

Diaz

Hader

et al. 2015

Can. J. Neurol. Sci.

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“…11,14,15,24,38,39 Therefore, to minimize the risks of intraoperative injury to important neurovascular structures, the current study was designed to develop a protocol of continuous navigation guidance for ETV. We report here the feasibility of such a protocol and its application to 15 procedures.…”

Section: Discussionmentioning

confidence: 99%

A Novel Protocol of Continuous Navigation Guidance for Endoscopic Third Ventriculostomy

Martínez-Moreno¹,

Widhalm²,

Mert³

et al. 2014

Operative Neurosurgery

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“…Endoscopic third ventriculostomy either at the region of the tuber cinereum or lamina terminalis has been well described for the treatment of hydrocephalus associated with aqueductal stenosis. 3,7,24 After the endoscopic procedure, the intraventricular catheter within the cyst was liberated and detached with removal of the shunt during the same neurosurgical procedure.…”

Section: Endoscopic Approach In Arachnoid Cystsmentioning

confidence: 99%

Coexistent intraventricular abnormalities in periventricular giant arachnoid cysts

Rangel-Castilla

Torres-Corzo

Vecchia

et al. 2009

PED

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Object Arachnoid cysts are congenital lesions that arise during development by splitting of the arachnoid membrane. Large cysts can be adjacent to CSF pathways causing a marked midline shift and hydrocephalus. The association between a large arachnoid cyst and hydrocephalus has been commonly described as being due to a mass effect, but these previous reports have not focused closely on any associated intraventricular abnormalities. Methods Seven patients who were previously treated with a cystoperitoneal shunt presented with shunt failure, hydrocephalus, and/or cyst expansion. All of these patients had giant arachnoid cysts extending to the periventricular region from the original site, which was the sylvian fissure in 4 patients, and the suprasellar cistern, quadrigeminal cistern, and interhemispheric fissure in 1 patient each. Endoscopic exploration of the ventricular system and cyst fenestration was then performed in all patients. Results The endoscopic findings were obstruction of the cerebral aqueduct by a membrane not related to the cyst in 5 patients, occlusion of the foramen of Monro in 6, septum pellucidum hypoplasia in 2, and occlusion of the cerebral aqueduct by a quadrigeminal arachnoid cyst in 1. Endoscopic procedures performed were septum pellucidum fenestration and/or foraminoplasty in 5 patients, aqueductoplasty in 2, endoscopic third ventriculostomy in 5, fenestration of the lamina terminalis in 1, and direct cystocisternostomy in 1. After the endoscopic procedure, signs and symptoms of increased intracranial pressure and hydrocephalus improved in all patients, with a reduction in size of the cyst and the ventricle. Conclusions Ventricular abnormalities contributing to hydrocephalus may be associated with arachnoid cysts. These abnormalities may more likely reflect a common origin than a casual relation. Foramen of Monro stenosis and cerebral aqueduct occlusion associated with an arachnoid cyst can be more frequent than has been previously believed. In cases of periventricular giant arachnoid cysts, endoscopic exploration is a good alternative for examining the ventricular system and identifying and treating CSF obstructions caused by and/or related to arachnoid cysts.

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Endoscopic third ventriculostomy

Cited by 25 publications

References 110 publications

Comparison of Intracranial Neuroendoscopic Procedures in Children versus Adults

Comparison of Intracranial Neuroendoscopic Procedures in Children versus Adults

A Novel Protocol of Continuous Navigation Guidance for Endoscopic Third Ventriculostomy

Coexistent intraventricular abnormalities in periventricular giant arachnoid cysts

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