Endoscopic aqueductoplasty and placement of a stent in the cerebral aqueduct in the management of isolated fourth ventricle in children

Journal of Neurosurgery
Giuseppe CinalliGiuseppe Maggi

Abstract

In this study the authors conducted a retrospective evaluation of the effectiveness of endoscopic aqueductoplasty, performed alone or accompanied by placement of a stent, in the treatment of an isolated fourth ventricle (IFV) in seven patients afflicted with loculated hydrocephalus after a hemorrhage or infection. Seven children with symptomatic IFV and membranous aqueductal stenosis underwent endoscopic aqueductoplasty alone or combined with placement of a stent in the cerebral aqueduct. The mean age of the patients at the time of surgery was 10 months. The mean duration of follow up was 26 months. In all patients a supratentorial shunt had already been implanted, and in five patients neuroendoscopy had already been performed because other isolated compartments had been present inside the ventricular system. Aqueductoplasty alone was performed in three patients and aqueductoplasty and aqueductal stent placement in four. A precoronal approach was performed in five patients and a suboccipital approach in two. Signs and symptoms of intracranial hypertension resolved in all cases. Stent placement was successful in all five cases, resulting in clinical and neuroimaging-confirmed improvements in the IFV. Restenosis of the aqueduct o...Continue Reading

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Citations

Sep 20, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Vasilios Tsitouras, Spyros Sgouros
Jun 26, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jonathan Roth, Shlomi Constantini
Aug 17, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Lena ArmbrusterAurelia Peraud
Apr 24, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Hideki Ogiwara, Nobuhito Morota
Dec 16, 2011·Neurosurgical Review·Antonio Di IevaManfred Tschabitscher
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Apr 24, 2009·Acta neurochirurgica·Thomas WestermaierCordula Matthies
Aug 21, 2013·Acta neurochirurgica·Alaa Raouf, Ihab Zidan
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May 10, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ahmed El DamatyHeidi Baechli
Oct 25, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Leopoldo Mandic Ferreira FurtadoAlexandre Varella Giannetti
Jan 5, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Alessia ImperatoGiuseppe Cinalli
Oct 26, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jorge Tirado-CaballeroJavier Márquez-Rivas
Jun 21, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·L PadayachyA Mazwi

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