Endoscopic Third Ventriculostomy for Patients with Hydrocephalus and Fourth Ventricular Cysticercosis: A Review of Five Cases

Psarros, Thomas; Coimbra, Caetano

doi:10.1055/s-2004-830134

Cited by 24 publications

(11 citation statements)

References 12 publications

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“…The widespread use of ETV has been already reported by many neurosurgeons in the management of postinfectious hydrocephalus with successful outcomes (28, 64, 67). Recently, the value of endoscopic management has gained attention in cases of chronic hydrocephalus without evidence of outlet obstruction, as in postmeningitis (4, 19, 28, 32, 33) ventricular enlargement (especially purulent and tuberculosis) or in neurocysticercosis (52,64). In this case, an early extraction of the parasites, together with the ventriculostomy, seem to be effective in treating the accompanying communicating hydrocephalus.…”

Section: Postinfectious Hydrocephalusmentioning

confidence: 99%

Indication for Endoscopic Third Ventriculostomy

Mugamba¹,

Stagno²

2013

World Neurosurgery

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Section: Postinfectious Hydrocephalusmentioning

confidence: 99%

Indication for Endoscopic Third Ventriculostomy

Mugamba¹,

Stagno²

2013

World Neurosurgery

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“…Previous reports of endoscopic treatment of intraventricular NCC include patients treated with external shunts preoperatively (1), during the same sitting, and postoperatively after microsurgical excision of the cyst (25). There are rare reports in which endoscopy alone was sufficient for all of the patients (1,14,26).…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Transaqueductal Removal of Fourth Ventricular Neurocysticercosis With an Angiographic Catheter

Husain¹,

Rastogi²,

Jha³

et al. 2007

Operative Neurosurgery

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“…On October 20, 2009, he was admitted to our hospital because of recurrent attacks of headache and vomiting combined with fever after V-P shunt. Preoperative CT showed a cystic Endoscopic excision is becoming increasingly popular following with the development of endoscopic equipment and skills (7,12). Transforaminal endoscopic removal of third ventricular cysticercosis lesions is feasible, but it is difficult if the lesion migrates into the fourth ventricle.…”

Section: Casementioning

confidence: 99%

Endoscopic transaqueductal removal of fourth ventricular neurocysticercosis: report of three cases

Chen

Xiao²,

Zheng³

et al. 2014

Turkish Neurosurgery

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In this study, we try to present our experience of transaqueductal removal of the fourth ventricular neurocysticercosis (FVNCC) with a flexible neuroendoscope. Three cases of the fourth ventricular cysticercosis were transaqueductally removed with FUJINON EB-270P flexible neuroendoscope through a frontal precoronal burr hole. The diagnosis was established on imaging and confirmed on histology in all of the cases. Complete excision of cysts in the fourth ventricle was performed in all cases with no significant intraoperative or postoperative complications. The shunt and the string-of-beads multiple cysts in the basal cistern were removed simultaneously through the orificium fistulae of the third ventricle floor with the flexible neuroendoscope. Satisfactory postoperative CSF flow around foramen magnum was detected by cine phase-contrast magnetic resonance imaging. All of the patients were asymptomatic, with an average follow-up of 6 months. The whole ventricular system can be explored easily with electrical flexible neuroendoscope. Endoscopic transaqueductal removal of the fourth ventricular cysticercosis with a flexible neuroendoscope should be recommended as the optimal choice of the disease due to its minimal invasion, fewer complications, shorter length of stay and cheaper treatment costs. KEywords: Fourth ventricular, Neurocysticercosis, Endoscopic transaqueductal removal, Treatment ÖZÇalışmada esnek bir nöroendoskopla dördüncü ventrikül nörosistiserkozisinin transakuaduktal eksizyonuyla ilgili deneyimimizi sunuyoruz. Üç adet dördüncü ventrikül sistiserkozis olgusu, bir frontal prekoronal burr deliği içinden FUJINON EB-270P esnek nöroendoskopuyla transakuaduktal olarak çıkarıldı. Tüm olgularda tanı görüntülemeyle kondu ve histolojiyle doğrulandı. Dördüncü ventriküldeki kistlerin tam eksizyonu tüm olgularda herhangi bir önemli intraoperatif veya postoperatif komplikasyon olmadan gerçekleştirildi. Bazal sisterndeki boncuk dizisi tarzındaki çoklu kistler ve şant, esnek nöroendoskopla üçüncü ventrikül tabanındaki fistül orifisi yoluyla aynı anda çıkarıldı. Sine faz-kontrast manyetik rezonans görüntüleme yoluyla foramen magnum etrafında tatminkar postoperatif BOS akışı gözlendi. Ortalama takip 6 aydı ve hastaların hiçbirinde belirti yoktu. Elektrikli esnek nöroendoskopla tüm ventriküler sistemin eksplorasyonu kolayca yapılabilir. Esnek bir nöroendoskopla dördüncü ventrikül sistiserkozisinin endoskopik transakuaduktal yoldan çıkarılması minimum invazyon, daha az komplikasyon, hastanede daha az kalma ve daha ucuz tedavi maliyeti nedeniyle bu hastalık için optimum tercih olarak düşünülmelidir.

show abstract

Endoscopic Third Ventriculostomy for Patients with Hydrocephalus and Fourth Ventricular Cysticercosis: A Review of Five Cases

Cited by 24 publications

References 12 publications

Indication for Endoscopic Third Ventriculostomy

Indication for Endoscopic Third Ventriculostomy

Endoscopic Transaqueductal Removal of Fourth Ventricular Neurocysticercosis With an Angiographic Catheter

Endoscopic transaqueductal removal of fourth ventricular neurocysticercosis: report of three cases

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