SIMULTANEOUS PERFORMANCE OF ENDOSCOPIC VENTRICULOCISTERNOSTOMY OF THE THIRD VENTRICLE FLOOR, AQUEDUCTOPLASTY, FENESTRATION OF THE SUPRACEREBELLAR CYST IN OCCLUSIVE HYDROCEPHALUS IN A CHILD IN THE FIRST MONTH OF LIFE

2021 ◽  
Vol 100 (5) ◽  
pp. 194-198
Author(s):  
A.A. Sufianov ◽  
◽  
R.R. Rustamov ◽  
Iu.A. Iakimov ◽  
R.A. Sufianov ◽  
...  

The article presents a clinical case of the simultaneous execution of endoscopic ventriculocisternostomy of the third ventricle floor (ETV), aqueductoplasty, fenestration of the supracerebellar cyst in occlusive hydrocephalus using a semi-rigid needle neuroendoscope. The authors describe a child who, at the age of 1 month, was admitted to Neurosurgical Department No. 1 of the Federal Center for Neurosurgery of the Ministry of Health of the Russian Federation in Tyumen with a diagnosis of congenital internal occlusive hydrocephalus, subcompensated course. MRI scan of the brain: triventricular occlusive asymmetric hydrocephalus is visualized, adhesions in the upper parts of the aqueduct, supracerebellar arachnoid cyst were visualised. ETV, aqueductoplasty, fenestration of the supracerebellar cyst were performed. There were no postoperative neurological, endocrine and infectious complications. The observation period after surgery is 7 years from today. Conclusion: preoperative MRI analysis of the structures of the third ventricular floor, interventricular and prepontine cisterns is important for understanding endoscopic, microsurgical anatomy and surgical planning. The use of modern improved endoscopic instruments, low-traumatic performance of all stages of the operation allow to restore cerebrospinal fluid circulation and achieve high efficiency in the treatment of occlusive hydrocephalus in the long-term period. This, in turn, relieves patients of the shunt-dependent state, constant correction of the dysfunctions of the shunt system and long-term, and often ineffective, treatment performed by neurologists and pediatricians.

1984 ◽  
Vol 21 (4) ◽  
pp. 325-331 ◽  
Author(s):  
M. Cossu ◽  
F. Lubinu ◽  
G. Orunesu ◽  
A. Pau ◽  
E.Sehrbundt Viale ◽  
...  

2008 ◽  
Vol 62 (suppl_1) ◽  
pp. ONS51-ONS56 ◽  
Author(s):  
Jeremy D.W. Greenlee ◽  
Charles Teo ◽  
Ali Ghahreman ◽  
Bernard Kwok

Abstract Objective: To further assess the safety and long-term efficacy of endoscopic resection of colloid cysts of the third ventricle. Methods: A retrospective review of a series of 35 consecutive patients (18 male, 17 female) with colloid cysts treated by endoscopic surgery was undertaken. Results: The mean patient age was 32.4 years (range, 11–54 yr). Headache was the most common presenting symptom (22 patients). The average tumor size was 18 mm (range, 3–50 mm). The endoscopic technique could not be completed in six patients, necessitating conversion to an open craniotomy and a transcortical approach to the colloid cyst. All patients had histologically confirmed colloid cysts of the third ventricle, and complete resection of the lesion was confirmed macroscopically and radiologically in all patients. There were no deaths. Two patients developed aseptic meningitis without any permanent sequelae. One patient developed unilateral hydrocephalus attributable to obstruction of the foramen of Monro, which was treated with endoscopic septum pellucidotomy. The median follow-up period was 88 months (range, 10–132 mo). There was one asymptomatic radiological recurrence. No seizures occurred after surgery. Conclusion: The results of this study support the role of endoscopic resection in the treatment of patients with colloid cysts as a safe and effective modality. In some cases, conversion to an open procedure may be required. Additional follow-up will be required to continue to address the duration of lesion-free survival.


2015 ◽  
Vol 49 (6) ◽  
pp. 446-450 ◽  
Author(s):  
Hiroaki Nagashima ◽  
Kazuhiro Tanaka ◽  
Takashi Sasayama ◽  
Yusuke Okamura ◽  
Masaaki Taniguchi ◽  
...  

Neurosurgery ◽  
2008 ◽  
Vol 62 (suppl_3) ◽  
pp. ONS-390-ONS-396 ◽  
Author(s):  
Rungsak Siwanuwatn ◽  
Pushpa Deshmukh ◽  
Iman Feiz-Erfan ◽  
Harold L. Rekate ◽  
Joseph M. Zabramski ◽  
...  

2012 ◽  
Vol 10 (1) ◽  
pp. 30-33 ◽  
Author(s):  
Robert J. Bollo ◽  
Judith L. Gooch ◽  
Marion L. Walker

Continuous infusion of baclofen is a treatment option for severe generalized dystonia. Catheter insertion within the third ventricle has been described as an alternative to standard intrathecal placement to maximize intracranial concentrations of baclofen. The authors describe their experience with a novel technique for stereotactic endoscopic insertion of baclofen infusion catheters in the third ventricle in 3 patients with severe secondary generalized dystonia. Insertion was successful in all 3 patients, and all of them experienced significant improvement in dystonia scores on the Barry-Albright Dystonia Scale. Follow-up ranged from 5.5 to 7 months (mean 6 months), and no mechanical complications or CSF leaks were observed. The stereotactic endoscopic insertion of a baclofen infusion catheter into the third ventricle appears to be a safe method for continuous intraventricular baclofen infusion in patients with generalized secondary dystonia.


1986 ◽  
Vol 250 (1) ◽  
pp. R18-R23 ◽  
Author(s):  
S. L. Bealer

The effects of electrolytic ablation of the anteroventral portion of the third ventricle (AV3V) on plasma volume (PV) restitution and adrenal corticosteroid responses after hemorrhage were determined. After recovery from AV3V ablation or control surgeries, animals were implanted with a catheter in the femoral artery. PV was determined before and either 2 or 24 h after moderate hemorrhage (1.4% body wt for controls; 1.3% body wt for AV3V lesion) by calculating dilution of 125I-labeled serum albumin. Other rats with AV3V lesions and control animals were used to measure concentrations of renin, aldosterone, and corticosterone 0.5 or 2 h after similar hemorrhage. The percent of shed PV restored was similar in rats with AV3V lesions and control-operated animals both 2 and 24 h after hemorrhage. Furthermore, the restitution of plasma protein mass was not different. Rats with AV3V lesions showed a similar increase in plasma renin concentration after hemorrhage, but they showed a smaller increase in the concentration of plasma aldosterone and no increase in the concentration of plasma corticosterone. These data demonstrate that electrolytic ablation of AV3V periventricular tissue does not alter either the short- or long-term phase of PV restitution, even though concentrations of plasma corticosterone are not increased.


2011 ◽  
Vol 68 (suppl_2) ◽  
pp. ons347-ons354 ◽  
Author(s):  
Alicia Del Carmen Becerra Romero ◽  
Paulo Henrique Pires de Aguiar ◽  
Tiago Bonini Borchartt ◽  
Aura Conci

Abstract Background: One of the key elements for a successful endoscopic intervention in the ventricular system is the ability to recognize the anatomic structures and use them as a reference. Objective: To measure the choroid plexus with endoscopy in the interventricular foramen, together with the structures on the third ventricle floor, and to compare these variables. Methods: An observational prospective study was carried out on 37 brains of cadavers for which the cause of death was assessed at the Death Check Unit of the University of São Paulo in April 2008. This study was done on adults of both sexes with a rigid neuroendoscope. Endoscopic images were recorded, submitted for correction of distortion, and then measured. Results: The measurements of the choroid plexus in the interventricular foramen, laterolateral distance of mammillary bodies, distance from the infundibular recess to the mammillary bodies, and area of the triangle in the tuber cinereum were 1.71 ± 0.77 mm, 2.23 ± 0.74 mm, 3.22 ± 0.82 mm, and 3.69 ± 2.09 mm2, respectively. The ventricle floor was opaque in 84% of cases. The internal distance of mammillary bodies was absent in 89%. Associations between the translucent floor of the third ventricle and laterolateral distance of mammillary bodies, internal distance of mammillary bodies, and age were identified. Conclusion: Before this research, there was no record of the measurements of the choroid plexus in the interventricular foramen. The remaining variables of the present study show a greater number in normal brains compared with others.


2011 ◽  
Vol 153 (12) ◽  
pp. 2451-2452 ◽  
Author(s):  
Songtao Qi ◽  
Yuntao Lu ◽  
Jun Pan

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