Endoscopic aqueductoplasty in the treatment of aqueductal stenosis

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Henry W S SchroederMichael R Gaab

Abstract

Endoscopic aqueductoplasty is an option in the treatment of obstructive hydrocephalus caused by aqueductal stenoses. We report on our experience with this endoscopic technique, focussing on indications, operative technique, and results. A series of 39 endoscopic aqueductoplasties was performed in 33 patients harbouring a hydrocephalus caused by aqueductal stenosis. In 13 patients, a third ventriculostomy was simultaneously performed. There was no endoscopy-related mortality. One aqueductoplasty had to be abandoned. In 7 patients, reclosure of the restored aqueduct required an endoscopic revision. In 25 patients (76%), the hydrocephalus-related symptoms resolved or improved. The condition was unchanged in 8 patients. Four patients needed to be shunted. The ventricles decreased in size in 22 patients (67%), were larger in 2, and unchanged in the remaining 9 patients. Endoscopic aqueductoplasty is a treatment option in patients with hydrocephalus caused by membranous aqueductal stenosis. Unfortunately, the reclosure rate is higher than initially expected. More experience and longer follow-up are necessary to determine the value of endoscopic aqueductoplasty in the treatment of hydrocephalus caused by aqueductal stenosis.

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Citations

Nov 9, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Liana Beni-AdaniShlomi Constantini
Oct 21, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Yusuf Erşahin
Sep 20, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·H KnausU W Thomale
Jun 27, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jefferson V ProañoLeonardo Rangel-Castilla
Apr 24, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Hideki Ogiwara, Nobuhito Morota
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