VENTRICULAR USES OF NEUROENDOSCOPY
Mahmoud Hamdy I. Kamel;
Abstract
The introduction of the operating microscope in the
1960s facilitated challenging procedures performed through small openings into the depth of the brain. With application of neuroendoscopic techniques, invasiveness can now be further reduced, with comparable or even better results in selected cases. Selected intraventricular tumors and cysts may be biopsied or removed via an endoscopic approach, avoiding craniotomies and brain retraction. The access to the lesion is rapid and straight forward. The duration of the endoscopic procedures is usually shorter than expected with microsurgery and obstructed CSF pathways causing hydrocephalus may be restored to patency via the same approach.
Endoscopic third ventriculostomy has become a relatively easy and safe procedure with the aid of modern technology. We feel that the success rate is satisfactory so that third ventriculostomy may be considered as one of the lines of treatment for patients with hydrocephalus secondary to congenital aqueduct stenosis, tumoral obstruction (including the management of patients with midline posterior fossa tumors), suitable for previously shunted patients, and even for the diverse pathologies listed as miscellaneous (Chiari Malformation, Dandy Walker ...) provided that selection criteria are fully fulfilled.
1960s facilitated challenging procedures performed through small openings into the depth of the brain. With application of neuroendoscopic techniques, invasiveness can now be further reduced, with comparable or even better results in selected cases. Selected intraventricular tumors and cysts may be biopsied or removed via an endoscopic approach, avoiding craniotomies and brain retraction. The access to the lesion is rapid and straight forward. The duration of the endoscopic procedures is usually shorter than expected with microsurgery and obstructed CSF pathways causing hydrocephalus may be restored to patency via the same approach.
Endoscopic third ventriculostomy has become a relatively easy and safe procedure with the aid of modern technology. We feel that the success rate is satisfactory so that third ventriculostomy may be considered as one of the lines of treatment for patients with hydrocephalus secondary to congenital aqueduct stenosis, tumoral obstruction (including the management of patients with midline posterior fossa tumors), suitable for previously shunted patients, and even for the diverse pathologies listed as miscellaneous (Chiari Malformation, Dandy Walker ...) provided that selection criteria are fully fulfilled.
Other data
| Title | VENTRICULAR USES OF NEUROENDOSCOPY | Other Titles | استخدامات منظار الجهاز العصبى داخل بطينات المخ | Authors | Mahmoud Hamdy I. Kamel | Issue Date | 2002 |
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