Successful Endoscopic Third Ventriculostomy in Noncommunicating Thoracic Syringomyelia

Cipri, S; Cafarelli, Francesco Pio

doi:10.1007/s701-002-8278-3

Cited by 6 publications

(1 citation statement)

References 6 publications

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LTHOUGH neuroendoscopy has progressively gained a well-established role in the neurosurgical repertoire for the treatment of several diseases, 8,13,14,16,17,21,[23][24][25]31,32,34,37,40 controversy surrounds the endoscopic management of ICH and IVH, because of the instruments currently available and related technical problems. Despite several reports both on hemorrhagic complications during intraventricular endoscopic procedures and on third ventriculostomy in patients with hydrocephalus caused by ICH or IVH,1,[8][9][10][11][12]19,20,23,26,30,[35][36][37][38]40,42 a literature review revealed only three papers in which the authors had analyzed the endoscopic management of spontaneous ICH.

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Long-term resolution of acute, obstructive, triventricular hydrocephalus by endoscopic removal of a third ventricular hematoma without third ventriculostomy

Barbagallo¹,

Platania²,

Schonauer³

2005

Journal of Neurosurgery

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The authors describe a new extension of the use of neuroendoscopy beyond that which is ordinarily performed. The authors report on the resolution of acute, obstructive, triventricular hydrocephalus in a 42-year-old woman with hypertensive caudate hemorrhage that migrated into the ventricular system. The patient underwent emergency endoscopic removal of a third ventricular hematoma, which was obstructing the orifice of the aqueduct, and restoration of cerebrospinal fluid (CSF) flow but no third ventriculostomy. The authors believe that this is the first such case to be reported. In selected cases of third ventricular hemorrhage, endoscopic removal of the intraventricular hematoma may represent a useful and effective treatment option even in emergency conditions as well as a better alternative to prolonged CSF external ventricular drainage. A reduction in the duration of hospitalization is a beneficial consequence. The authors assert that third ventriculostomy is not always needed.

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