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Minim Invasive Neurosurg 1998; 41(4): 198-199
DOI: 10.1055/s-2008-1052041
© Georg Thieme Verlag Stuttgart · New York

How to Perforate Safely a Resistant Floor of the 3rd Ventricle?

Technical NoteU. Kehler, J. Gliemroth, U. Knopp, H. Arnold
  • Department of Neurosurgery, Medical University of Luebeck, Luebeck, Germany
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Publikationsdatum:
18. März 2008 (online)

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Abstract

Third ventriculostomy for acquired non-communicating hydrocepahlus is an excellent alternative to shunting procedures. Nevertheless, complications can be severe and even fatal (e.g., lesion of the basilar artery), especially if the floor of the 3rd ventricle is very tough and/or opaque. The authors describe a safe method of sharp perforation of the floor, which should be applied if blunt fenestration cannot be achieved easily.

Key words

Hydrocephalus - 3rd ventriculostomy - Complications