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DOI: 10.1055/s-2002-34350
Re-Ventriculostomy for Treatment of Obstructive Hydrocephalus in Cases of Stoma Dysfunction
Publication History
Publication Date:
26 September 2002 (online)
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Abstract
In this article, 12 re-ventriculostomies in the treatment for obstructive hydrocephalus are described. The etiology of the hydrocephalus was a benign aqueductal stenosis in 9 patients, a tumor around the aqueduct in 2 patients and intraventricular bleeding in one patient. In all cases the initial ventriculostomy was successful, but after a time interval of 2 weeks to 6 years the patients developed similar clinical symptoms as preoperatively. In all except one case the radiological findings spoke in favour of stoma closure. Intraoperatively the stoma was completely closed in 9 patients and in 3 patients a subtotal closure was observed. In all cases a re-ventriculostomy was performed bluntly with a Fogarty catheter in loco typico at the floor of the third ventricle. Of the 12 patients 6 had an excellent outcome postoperatively, one patient improved and one had a benefit from the re-ventriculostomy although he died of cardiac problems. In the remaining 4 patients the re-ventriculostomy was not successful and the patients needed a shunt operation. In conclusion, after initially successful endoscopic third ventriculostomy, re-ventriculostomy should be considered as a sufficient treatment option in case of suspected stoma dysfunction.
Key words
Ventriculostomy - Re-Ventriculostomy - Endoscopy - Hydrocephalus - Stoma Dysfunction
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D. Koch,M. D.
Department of Neurosurgery · Johannes Gutenberg University
55131 Mainz
Germany ·
Phone: +49-6131-177331
Fax: +49-6131-177331
Email: koch@nc.klinik.uni-mainz.de