Stereotaxic reconstruction of the aqueduct of Sylvius

Journal of Neurosurgery
E O BacklundD Lunsford

Abstract

A stereotaxic technique has been developed to cannulate the cerebral aqueduct in patients with hydrocephalus resulting from occlusion of the aqueduct of Sylvius. Precise placement of a 15- to 20-mm long radiopaque prosthesis between the third and fourth ventricles can reestablish the normal cerebrospinal fluid (CSF) pathway. Since 1974, seven patients have undergone aqueductal reconstruction. The surgical goal in this series was to manage the hydrocephalus by creating and maintaining a patent aqueductal channel. The follow-up period ranged from 1.5 to 6.5 years. In four cases, aqueductal reconstruction alone resulted in control of the hydrocephalus, although two patients underwent revisions of their prosthesis. Three patients ultimately required shunts, despite initial symptomatic improvement after reconstruction. In these seven cases (13 stereotaxic procedures), no mortality and no significant operative morbidity were encountered. Although the technique is relatively simple to perform, technical difficulties remain. At present, no clinical or radiographic test adequately discerns the ideal candidate for stereotaxic aqueductal reconstruction. Four patients required stereotaxic revision because of malposition or malfunction of t...Continue Reading

References

Dec 1, 1979·Journal of Neurosurgery·G R NugentS Chou
Jun 1, 1979·The Journal of Pediatrics·J A Thompson
Dec 1, 1979·Clinical Biochemistry·E de la Morena
Jan 1, 1977·Clinical Neurosurgery·E R Laws, B Mokri
Apr 1, 1977·Seminars in Nuclear Medicine·J C HarbertD Schellinger
Jan 1, 1976·Clinical Neurosurgery·M P Sayers
Oct 27, 1976·Neuroradiology·R F SpataroJ V McDonald
Jan 1, 1976·Clinical Neurology and Neurosurgery·G EhniT G Bragg
Nov 1, 1976·Neuropädiatrie·A Borti
Jan 1, 1975·Confinia Neurologica·J Iizuka
Jan 1, 1975·Confinia Neurologica·M Poblete, R Zamboni
Jan 1, 1975·Confinia Neurologica·K SugitaM Shibuya
Jan 1, 1976·Child's Brain·M P Sayers, E J Kosnik
Dec 1, 1974·Journal of Neurology, Neurosurgery, and Psychiatry·M J HarrisonD Uttley
May 1, 1973·Journal of Neurosurgery·R M CrosbyR L Paul
Jan 1, 1949·Acta Psychiatrica Et Neurologica·L LEKSELL

❮ Previous
Next ❯

Citations

Jul 10, 2004·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Henry W S SchroederMichael R Gaab
May 1, 2007·Journal of Neurosurgery·L Dade Lunsford
Jun 28, 2015·World Neurosurgery·Jiefeng GengXinguang Yu
Mar 19, 2004·Neurosurgery·Erik-Olof Backlund
Sep 24, 1999·Neurosurgery·H W Schroeder, M R Gaab

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.