Endoscopic septostomy through a standard precoronal ventricular access: feasibility and effectiveness

Acta neurochirurgica
Gianpiero TamburriniConcezio Di Rocco

Abstract

Although endoscopic septostomy is widely adopted in the treatment of unilateral or specific types of hydrocephalus, there is no consensus on surgical indications, technical aspects and postoperative outcome. In particular, the choice of the ventricular access has been recently debated. We investigated the results of endoscopic septostomy performed through a standard precoronal ventricular access using a rigid endoscope. Patients who underwent an endoscopic septostomy at our Institution from March 2001 to March 2011 were retrospectively identified. Clinico-radiological data and video recordings of the endoscopic procedures were reviewed. Sixty-three patients (50 children and 13 adults) were collected. In adults, the obstruction of the cerebrospinal fluid (CSF) pathway was exclusively secondary to a tumor (neoplastic or pseudoneoplastic lesion). In the pediatric group hydrocephalus was most commonly due to a neoplasm (33 out of 50 patients), post-hemorrhagic and/or post-infectious hydrocephalus affecting 11 children and malformative hydrocephalus the remaining six children. We were able to perform the septostomy in all but two patients, presenting with a scarred multilayered septum secondary to post-hemorrhagic hydrocephalus. In ...Continue Reading

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Citations

Sep 2, 2016·Neurosurgical Focus·Sunil ManjilaPierre E Dupont
Dec 12, 2020·World Neurosurgery·Timothy E O'ConnorRobert A Fenstermaker
Jun 21, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·L PadayachyA Mazwi

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