Technical and anatomical aspects of endoscopically assisted septostomy in unilateral ventriculoperitoneal shunt placement for the management of isolated lateral ventricles

Mohammad, Mohammad H.; Diaz, Roberto J.

doi:10.1016/j.inat.2017.05.003

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Delayed failure of the septostomy can occur due to severe inflammation and thickening of the septum pellucidum requiring a second septostomy. 3 There are a few limitations of this study. First, the results of the present study might not be applicable to other geographical areas as the clinical outcomes of the patients would depend in part on the surgical expertise of the operating team.…”

Section: Discussionmentioning

confidence: 91%

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Obstruction at the level of foramen of monro causing obstructive hydrocephalus

et al. 2021

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Background: The foramen of monro is also known by the name of interventricular foramen. The study was conducted to determine the etiology, clinical picture, radiological features, and different modalities of management and related complications.Methods: A prospective study of 30 cases with diagnosis of hydrocephalus due to obstruction at the interventricular foramen. Lesions at the foramen of monro were addressed either by open craniotomy approach or neuroendoscopy approach. For open craniotomy transcortical or interhemispheric approach was preferred and Karl Storz’s LOTTA system was used for all the neuroendoscopic procedures.Results: Craniopharyngioma and colloid cysts were the most common pathology in children and adults respectively. Endoscopic approach was particularly helpful in decreasing the convalescence period and postoperative complications. Wound site CSF leak is the most commonly faced complications. In our study, out of 30 patients, males accounted for 23 (77%) cases and females for 7 (23%) cases. Majority were in the age group of 20-40 years. The most common presenting complaints of patients having foramen of monro obstruction with hydrocephalus were headache and vomiting. Gadolinium enhanced contrast MRI of brain was the investigation of choice for diagnosing these lesions.Conclusions: Endoscopic approach can be offered as a first line of treatment as a part of standard treatment in all patients having foramen of monro obstruction. It obviates the need for multiple shunt procedures. Although small solid lesions less than 3 cm in size can be addressed by endoscopic approach, the learning curve required for endoscopic approach to deal with solid lesions is very steep.

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Section: Discussionmentioning

confidence: 91%

“…The prophylactic antibiotic chosen was ceftriaxone and was given as per the weight of the patient at the time of induction. 3…”

Section: Surgical Techniquesmentioning

confidence: 99%

Obstruction at the level of foramen of monro causing obstructive hydrocephalus

et al. 2021

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“…Furthermore, there are two other avascular areas located in the posterior atrial segment. One avascular area is between the superior septal vein and the posterior margin of septum pellucidum and another avascular area is identi ed in the atrial segment between the two septal veins, but Mohammad et al considered that both of these areas are inconsistent in their size and shape [14].…”

Section: Review Of Current Surgical Disclosures About Technical Surgerymentioning

confidence: 99%

Neuroendoscopic septostomy in unilateral and bilateral ventricular hydrocephalus

et al. 2022

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Purpose: This study describes the results of septostomy (SPT) in terms of success and analysis of follow-up in a series of pediatric patients diagnosed with unilateral ventricular hydrocephalus (UHV) and biventricular hydrocephalus (BVH) Methods: A total of 29 pediatric patients diagnosed with UVH or BVH were included in this study. In UVH, a neuroendoscopic SPT was performed (sometimes accompanied by NEFPFMO). In those diagnosed with BVH, an SPT combined with VPS was carried out. Demographic, etiological, clinical, and diagnostic variables and percentage of treatment success were collected.Results: During follow-up, SPT was considered successful when no VPS was required in UVH and when only unilateral VPS was implanted in BVH. At the time of surgery, 16 patients needed a ventriculoperitoneal shunt. The rst SPT was successful in 22 patients, requiring a second surgery in 7 patients, from the oncological group diagnosed with BHV.Conclusions: The surgical management of UVH and BVH still has some disclosure points to be reviewed. However, SPT seems to be a secure, nontraumatic, and e cient procedure.

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“…7,8,9,10 Management consists of either endoscopically creating a septostomy between the two lateral ventricles and establishing the CSF flow or placing a VP shunt which can be a lifelong commitment. 11 There have been very few studies explaining the outcome and results of endoscopic septostomy in the management of isolated lateral ventricles. Some of which report good results.…”

Section: Introductionmentioning

confidence: 99%

Results of Endoscopic Septostomy in Isolated Lateral Ventricular Hydrocephalus

Raza

Ahmad²,

Khaliq

et al. 2022

Pak J Neurol Surg

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Objective: To determine the success of endoscopic septostomy in the management of isolated lateral ventricular hydrocephalus. Material and Methods: A retrospective analysis of data was done and records of all patients who underwent endoscopic septostomy for isolated lateral ventricular hydrocephalus due to any cause for the last 4 years, December 2017 to December 2021 at Punjab Institute of Neurosciences, Lahore. Radiological and clinical outcomes and complications were recorded. A total of 60 cases were reviewed. Results: Out of 60 patients, 95% were in the age group of 3 – 25 years and 5% were in the age group of 26 – 71 years. There was 54% male whereas 46% were female. Septostomy was successful in relieving hydrocephalus in 75% of cases. Conclusion: Endoscopic septostomy is an effective procedure for the management of isolated lateral ventricles. Keywords: Septostomy, Hydrocephalus, Isolated Lateral Ventricles.

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Technical and anatomical aspects of endoscopically assisted septostomy in unilateral ventriculoperitoneal shunt placement for the management of isolated lateral ventricles

Cited by 4 publications

References 11 publications

Obstruction at the level of foramen of monro causing obstructive hydrocephalus

Obstruction at the level of foramen of monro causing obstructive hydrocephalus

Neuroendoscopic septostomy in unilateral and bilateral ventricular hydrocephalus

Results of Endoscopic Septostomy in Isolated Lateral Ventricular Hydrocephalus

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