Technique of fontanelle and persutural ventriculoscopy and endoscopic ventricular surgery in infants

Child's Brain
H B Griffith

Abstract

The author describes a new type of neurosurgical operating telescope which makes possible the foundation of endoneurosurgery. Illumination through a fibre-optic bundle and image transmission through a series of coated air lenses in glass are based on Hopkins optical systems. The telescope is 2.6 mm in external diameter. The operating sheath introduced around the telescope by means of split obturators which dilate the telescope track, enlarges the external diameter of the instrument to 4.5 mm. Up to four special instruments (electrode, aspirating cannula, accessory light, perfusing cannula, scissors) or a grasping forceps can be introduced through the instrument sheath. The instrument can be introduced, using a sharp trocar, through the fontanelle or lambdoid suture in infants and through a burr hole in children. It has been used for third ventriculoscopy and choroid plexus coagulation. The latter has been carried out successfully through the anterior fontanelle and the lambdoid suture, bilaterally in 2-4 stages. Complications - one meningitis - have been the exception.

Citations

Jun 16, 2004·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Tjemme Beems, J Andre Grotenhuis
Oct 19, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Donncha F O'BrienConor L Mallucci
Dec 1, 2004·Neurosurgical Review·Dieter HellwigHelmut Bertalanffy
Nov 3, 2015·World Neurosurgery·Hannah E Goldstein, Richard C E Anderson
Mar 3, 2012·World Neurosurgery·Philippe DecqPaolo Cappabianca
Apr 15, 2014·Paediatric Anaesthesia·Petra M MeierThomas O Erb
Mar 18, 2004·Neurosurgery Clinics of North America·Sandeep Kunwar
Aug 1, 1993·Neurosurgery·K OkaM Tomonaga
Apr 7, 2010·Journal of Neurosurgery. Pediatrics·Albert A SufianovIurii A Iakimov
Feb 6, 2020·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Mikaeel KassamRichard A Rovin
Jan 1, 1994·Lasers in Surgery and Medicine·S Krishnamurthy, S K Powers

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