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Minim Invasive Neurosurg 2003; 46(4): 215-219
DOI: 10.1055/s-2003-42346
Original Article
© Georg Thieme Verlag Stuttgart · New York

Neuroendoscopy: One Year of Experience - Personal Results, Observations and Limits

E.  Sgaramella1 , S.  Sotgiu2 , F.  M.  Crotti1
  • 1Department of Neurosurgery, Sassari University School of Medicine, Sassari, Italy
  • 2Department of Neurology, Sassari University School of Medicine, Sassari, Italy
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Publication History

Publication Date:
24 September 2003 (online)

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Abstract

After reading reports of successful neuroendoscopic treatment of hydrocephalus, colloid cysts and arachnoid cysts as well as tumor biopsy, we started using endoscopic procedures in our Department, one year ago. One surgeon (E.S.) skilled in the Decq Endoscope, performed a series of sixteen procedures, from January 2001 to March 2002 (in patients aged 28 to 69 years). The most common pathology was obstructive hydrocephalus (14 cases), one was colloid cyst, and the last case was tumor biopsy. The surgical treatment consisted of third ventriculostomy, cyst opening and shrinking and tumor biopsy. In fourteen patients treated for hydrocephalus with third ventriculostomy (ETV), one required a definitive shunt. Complication occurred in one case with chronic subdural collection. We further report one case of aqueductal restoration after third ventriculostomy. Our results, with no neurological deficits or deaths, confirmed our opinion that neuroendoscopy is a safe surgical technique in well-selected patients and we believe it is the ideal treatment in obstructive hydrocephalus.

Key words

Neuroendoscopy - third ventriculostomy - tumor biopsy - colloid cyst

References

  • 1 Dandy W E. Treatment of non-capsulated brain tumors by extensive resection of contigous brain tissue.  Bull Johns Hopkins Hosp. 1922;  33 189-190
    PubMedSearch in Google Scholar
  • 2 Mixter W J. Ventriculoscopy and puncture of the floor of the third ventricle.  Bost Med Surg J. 1923;  188 277-278
    PubMedSearch in Google Scholar
  • 3 Torkildsen A. A follow-up study 14 to 20 years after ventriculocisternostomy.  Acta Psychiatr Neurol Scand. 1960;  35 113-121
    PubMedSearch in Google Scholar
  • 4 Guiot G. Ventriculo-cisternostomy for stenosis of the aqueduct of Sylvius: Puncture of the floor of the third ventricle with a leucotome under television control.  Acta Neurochir. 1973;  28 275-289
    CrossrefPubMedSearch in Google Scholar
  • 5 Hirsch J F. Percutaneous ventriculocisternostomies in non-communicating hydrocephalus.  Monogr Neurol Sci. 1982;  8 170-178
    PubMedSearch in Google Scholar
  • 6 Jaksche H, Loew F. Burr-hole third ventriculo-cisternostomy. An unpopular but effective procedure for treatment of certain forms of occlusive hydrocephalus.  Acta Neurochir. 1986;  79 48-51
    CrossrefPubMedSearch in Google Scholar
  • 7 Naterson S E. Early third ventriculostomy in meningomyelocele infants - shunt independence?.  Childs Brain. 1981;  8 321-325
    PubMedSearch in Google Scholar
  • 8 Sayers M P, Kosnik E J. Percutaneous third ventriculostomy: experience and technique.  Childs Brain. 1976;  2 24-30
    PubMedSearch in Google Scholar
  • 9 Dalrymple S J, Kelly P J. Computer-assisted stereotactic third ventriculostomy in the management of non-communicating hydrocephalus.  Stereotact Funct Neurosurg. 1992;  59 103-110
    PubMedSearch in Google Scholar
  • 10 Hoffman H J, Harwood-Nash D, Gilday D LC. Percutaneous third ventriculostomy in the management of noncommunicating hydrocephalus.  Neurosurgery. 1980;  7 313-321
    PubMedSearch in Google Scholar
  • 11 Jack Jr C R, Kelly P J. Stereotactic third ventriculostomy: assessment of patency with MR imaging.  AJNR. 1989;  10 515-522
    PubMedSearch in Google Scholar
  • 12 Kelly P J. Stereotactic third ventriculostomy in patients with non-tumoral adolescent/adult onset aqueductal stenosis and symptomatic hydrocephalus.  J Neurosurg. 1991;  75 865-873
    CrossrefPubMedSearch in Google Scholar
  • 13 Kelly P J, Goerss S, Kall B A. Computed tomography-based stereotactic third ventriculostomy: technical note.  Neurosurgery. 1986;  18 791-794
    PubMedSearch in Google Scholar
  • 14 Vries J K. An endoscopic technique for third ventriculostomy.  Surg Neurol. 1978;  9 165-168
    PubMedSearch in Google Scholar
  • 15 Bauer B L, Hellwig D. Minimally invasive endoscopic neurosurgery. A survey.  Acta Neurochir Suppl. 1994;  61 1-12
    PubMedSearch in Google Scholar
  • 16 Cohen A. Ventriculoscopic surgery.  Clin Neurosurg. 1994;  41 546-562
    PubMedSearch in Google Scholar
  • 17 Drake J M. Ventriculostomy for treatment of hydrocephalus.  Neurosurg Clin N Am. 1993;  4 657-666
    PubMedSearch in Google Scholar
  • 18 Grant J A, Lone Mc D G. Third ventriculostomy: a review.  Surg Neurol. 1997;  47 210-212
    CrossrefPubMedSearch in Google Scholar
  • 19 Jones R F, Kwock B C, Stenong W A, Vonau M. The current status of endoscopic third ventriculostomy in the management of non-communicating hydrocephalus.  Min Invas Neurosurg. 1994;  37 28-36
    Thieme ConnectPubMedSearch in Google Scholar
  • 20 Sencer A, Sencer S, Turantan I, Devecioglu O. Cerebrospinal fluid dynamics of the cava septi pelucidi and vergae. Case report.  J Neurosurg. 2001;  94 127-129
    PubMedSearch in Google Scholar
  • 21 Dandy W E. Congenital cerebral cyst of the cavum septi pellucidi (fifth ventricle) and cavum vergae (sixth ventricle). Diagnosis and treatment.  Arch Neurol Psychiatry. 1931;  25 44-66
    CrossrefPubMedSearch in Google Scholar
  • 22 Donauer E, Moringlane J R, Ostertag C B. Cavum vergae cyst as a cause of hydrocephalus, “Almost Forgotten?”. Successful stereotactic treatment.  Acta Neurochir. 1986;  83 12-19
    CrossrefPubMedSearch in Google Scholar
  • 23 Bodensteiner J B, Schaefer G B, Craft J M. Cavum septi pellucidi and cavum vergae in normal and developmentally delayed populations.  J Child Neurol. 1998;  13 121-124
    PubMedSearch in Google Scholar
  • 24 Beni-Adani L, Siomin V, Segev Y, Beni S, Constantini S. Increasing chronic subdural hematoma after endoscopic III ventriculostomy.  Child Nerv Syst. 2000;  16 402-405
    CrossrefPubMedSearch in Google Scholar
  • 25 Levt S. Functional analysis of third ventriculostomy patency with phase-contrast MRI velocity measurements.  Neuroradiology. 1997;  39 175-179
    CrossrefPubMedSearch in Google Scholar
  • 26 Gangemi M, Donati P, Maiuri F, Longatti U, Godano U, Mascari C. Endoscopic third ventriculostomy for hydrocephalus.  Minin Invasiv Neurosurg. 1999;  42 128-132
    Thieme ConnectPubMedSearch in Google Scholar
  • 27 Wilcock D J. Neuroendoscopic third ventriculostomy: evaluation with magnetic resonance imaging.  Clin Radiol. 1997;  52 50-54
    CrossrefPubMedSearch in Google Scholar

E. Sgaramella,M. D. 

Department of Neurosurgery · Sassari University School of Medicine · Piazza Università

07100 Sassari

Italy

Phone: +39-79-228360

Fax: +39-79-217437

Email: enricosga@tiscali.it