Operative Management of Third Ventriculostomy in Cases of Thickened, Non-Translucent Third Ventricular Floor: Technical Note

T. Riegel; O. Alberti; D. Hellwig; H. Bertalanffy

doi:10.1055/s-2001-16005

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Minim Invasive Neurosurg 2001; 44(2): 65-69
DOI: 10.1055/s-2001-16005

ORIGINAL PAPER

Georg Thieme Verlag Stuttgart · New York

Operative Management of Third Ventriculostomy in Cases of Thickened, Non-Translucent Third Ventricular Floor: Technical Note

T. Riegel, O. Alberti, D. Hellwig, H. Bertalanffy

Department of Neurosurgery Philipps University Marburg, Marburg, Germany

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Publication History

Publication Date:
31 December 2001 (online)

Abstract
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Today, endoscopic third ventriculostomy is an established operative modality in occlusive hydrocephalus. The elemental step in third ventriculostomy is the perforation of the floor of the third ventricle. Especially with a thickened third ventricular floor, anatomical orientation can be disturbed and perforation of third ventricular floor technically difficult. The combination of a neuronavigation system with an endoscope provides interactive image-guided neuroendoscopy. Exact planning of the approach is thus possible and the ideal trajectory to the target area can be determined. We have combined interactive neuronavigation and intraoperative fluoroscopy for incorporating real-time feedback to optimize endoscopy in patients with a thickened third ventricular floor selected for third ventriculostomy.

Key words:

Hydrocephalus - Third Ventriculostomy - Neuronavigation - Endoscopy

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Corresponding Author:

Dr. med. T. Riegel

Department of Neurosurgery
Philipps University Marburg

Baldingerstrasse

35033 Marburg

Germany

Phone: Phone:+ 49-6421-2866447

Fax: Fax:+ 49-6421-2866415

Email: E-mail:riegel@med.uni-marburg.de