Laser-assisted endoscopic third ventriculostomy for obstructive hydrocephalus: technique and results in a series of 40 consecutive cases

Lasers in Surgery and Medicine
Bertrand C DevauxFrançois-Xavier Roux

Abstract

To report a case series of endoscopic third ventriculostomy (ETV) using laser in 40 consecutive patients with obstructive hydrocephalus. Under stereotactic and endoscopic guidance, multiple perforations in the ventricular floor using a 1.32 microm neodymium-yttrium/aluminum/garnet (Nd-YAG) or a 0.805 microm diode laser unit and removal of intervening coagulated tissue ensued with a 4-6 mm opening between third ventricle and basilar cisterns. The procedure could be completed in all cases. A transient complication occurred in five cases. In 39 patients (mean follow-up 28 months), 31 (79%) had a favorable outcome. Failure occurred in six patients, requiring permanent shunting leading to complete recovery, and two patients remained in a poor clinical status despite ETV. Laser-assisted ETV is a safe and efficient procedure for the treatment of obstructive hydrocephalus. Laser is advantageous in cases of distorted anatomy and may reduce technical failures.

References

Jan 1, 1991·Pediatric Neurosurgery·C Sainte-RoseE B Hendrick
Jun 1, 1991·Photochemistry and Photobiology·A J WelchD Jansen
Sep 1, 1968·Journal of Neurosurgery·R H Patterson, R M Bergland
Jan 1, 1994·Lasers in Surgery and Medicine·S Krishnamurthy, S K Powers
Aug 1, 1993·Neurosurgery·K OkaM Tomonaga
Jan 1, 1996·Acta neurochirurgica·B C Devaux, F X Roux
Mar 1, 1997·Neurosurgery·R L RhotenG H Barnett
Dec 24, 1997·Neurosurgery·M R McLaughlinA L Albright
May 14, 1998·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·N BuxtonJ Punt
Jul 10, 1998·Surgical Neurology·B C DevauxC Cioloca
Aug 7, 1998·Pediatric Neurosurgery·K AbtinM L Walker
Sep 10, 1998·Pediatric Neurosurgery·D BrockmeyerM L Walker
Sep 16, 2000·Journal of Neurology, Neurosurgery, and Psychiatry·N MorotaH Nakagawa
Apr 20, 2001·Surgical Neurology·T Fukuhara, M G Luciano
Mar 15, 2002·Journal of Neurosurgery·Jasper van AalstErwin M J Cornips
Sep 28, 2002·Minimally Invasive Neurosurgery : MIN·D KochN Hopf

❮ Previous
Next ❯

Citations

Dec 1, 2004·Neurosurgical Review·Dieter HellwigHelmut Bertalanffy
Dec 25, 2010·Photomedicine and Laser Surgery·E PassacantilliA Santoro
Sep 1, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Erik J van LindertJ André Grotenhuis
Jan 22, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Erik J van Lindert
Jul 15, 2015·Journal of Neurosurgery·Rodolfo Casimiro ReisFernando Campos Gomes Pinto
Oct 16, 2010·Neurosurgery Clinics of North America·Daniel J Guillaume
Jul 21, 2016·World Neurosurgery·Mueez WaqarMichael D Jenkinson
Apr 3, 2008·Neurosurgery·Janneke van BeijnumW Peter Vandertop
Dec 19, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Wenjun ShenTadanori Tomita
Aug 30, 2019·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Padcha PongcharoenWareeporn Disphanurat
May 12, 2017·Journal of Korean Neurosurgical Society·Chandrashekhar E DeopujariSalman T Shaikh
Mar 25, 2020·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·S A KimD A Rzayev
Nov 24, 2020·World Neurosurgery·Aline Lariessy Campos PaivaJosé Carlos Esteves Veiga
Aug 16, 2018·Pediatric Neurosurgery·Zhiqiang FengWenjun Shen

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Tjemme Beems, J Andre Grotenhuis
© 2022 Meta ULC. All rights reserved