Intraventricular neuroendoscopic surgery in adult patients with obstructive hydrocephalus. A short case series
Journal: Advances in Medicine and Engineering Interdisciplinary Research DOI: 10.32629/ameir.v4i1.4887
Abstract
Introduction: hydrocephalus is a neurosurgical pathology that presents several treatment alternatives. Despite this, the rate of dysfunctions and re-interventions of the patients is considered high.
Objective: to describe the results of intraventricular neuro-endoscopic surgery in patients operated on for obstructive hydrocephalus.
Materials and methods: This is an observational, descriptive, cross-sectional, case series study describing clinical, imaging, and surgical variables in patients operated on using intraventricular neuroendoscopy. After applying inclusion and exclusion criteria, the sample consisted of five patients.
Results: The Glasgow Coma Scale score at the time of surgery was greater than 12 in all cases. Sixty percent of cases presented with a grade 4 on the Frisen scale for assessing papilledema severity. The mean Evans index, measured by CT scan, was 0.39; the mean diameter of the third ventricle was 14.75 mm, while the mean diameter of the temporal horns was 4.1 mm. Three cases presented with dilated anatomical variations of the foramina of Monro, while two presented with medium diameters. The mean surgical time was 45 minutes. Postoperative complications included surgical stoma dysfunction in one patient with a third ventriculostomy.
Conclusions: Intraventricular neuroendoscopic surgery is an effective method for treating patients with obstructive hydrocephalus in selected patients.
Keywords
obstructive hydrocephalus; intraventricular neuroendoscopy
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Disponible en: https://thejns.org/focus/view/journals/neurosurg-focus/48/1/article-pE5.xml
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http://www.revneuro.sld.cu/index.php/neu/article/view/78
[3] Tefre S, Lilja-Cyron A, Arvidsson L, et al. Endoscopic third ventriculostomy for adults with hydrocephalus: creating a prognostic model for success: protocol for a retrospective multicentre study (Nordic ETV). BMJ Open [Internet]. 2022 [citado 11/10/2022];12(1):e055570. Disponible en: https://bmjopen.bmj.com/content/12/1/e055570.abstract
[4] Salah M, Elhuseny AY, Youssef EM. Endoscopic third ventriculostomy for the management of hydrocephalus secondary to posterior fossa tumors: A retrospective study. Surg Neurol Int [Internet]. 2022 [citado 11/10/2022];13:65. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8888306/
[5] Picart T, Dumot C, Meyronet D, et al. Characteristics and management of hydrocephalus in adult patients with cerebellar glioblastoma: lessonsfrom a French nationwide series of 118 cases. Neurosurg Rev [Internet]. 2022 [citado12/10/2022];45(1):683-99. Disponible en: doi.org/10.1007/s10143-021-01578-2
[6] Karagiosov L. Técnica neuroquirúrgica. La Habana: Editorial Científico-Técnica; 1977.
[7] Lu L, Chen H, Weng S, et al. Endoscopic Third Ventriculostomy versus Ventriculoperitoneal Shunt in Patients with Obstructive Hydrocephalus: Meta-Analysis of Randomized Controlled Trials. World Neurosurg [Internet]. 2019 [citado11/10/2022];129:334-40. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S187887501931263X
[8] Rocque BG, Jensen H, Reeder RW, et al. Endoscopic third ventriculostomy in previously shunt-treated patients. J Neurosurg Pediatr [Internet]. 2022 [citado 11/10/2022];30(4):428-36.
Disponible en: https://thejns.org/pediatrics/view/journals/j-neurosurg-pediatr/30/4/article-p428.xml
[9] Dewan MC, Lim J, Shannon CN, et al. The durability of endoscopic third ventriculostomy and ventriculoperitoneal shunts in children with hydrocephalus following posterior fossa tumor resection: a systematic review and time-to-failure analysis. J Neurosurg Pediatr [Internet]. 2017 [citado 12/10/2022];19(5):578-84.
Disponible en: https://thejns.org/view/journals/j-neurosurg-pediatr/19/5/article- p578.xml
[10] Horta-Tamayo EE, Acosta-González LC, Ortega-Raez DR, et al. Tercer ventriculostomía endoscópica en hidrocefalia secundaria a tumores de fosa posterior en adultos. Rev cienc méd Pinar Río [Internet]. 2021 [citado 12/10/2022]; 25(6). Disponible en: http://revcmpinar.sld.cu/index.php/publicaciones/article/view/5273
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[12] Taguchi A, Kinoshita Y, Amatya VJ, et al. Intratumoral Hemorrhage After Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus Caused by Brain Tumors. World Neurosurg [Internet]. 2022 [citado 12/10/2022];158:e256-e64.
Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1878875021016739
[13] Giammattei L, Aureli V, Daniel RT, et al. Neuroendoscopic septostomy: Indications and surgical technique. Neurochi rurgie [Internet]. 2018 [citado 11/10/2022];64(3):190-3.
Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0028377018300389
[14] Atchley TJ, Sowers B, Arynchyna AA, et al. Complications of neuroendoscopic septostomy. J Neurosurg Pediatr [Internet]. 2021 [citado 12/10/2022];29(2):185-91. Disponible en: https://thejns.org/pediatrics/view/journals/j-neurosurg-pediatr/29/2/article-p185.xml
[15] Sherrod BA, Iyer RR, Kestle JR. Endoscopic third ventriculostomy for pediatric tumor-associated hydrocephalus. Neurosurg Focus [Internet]. 2020 [citado 06/09/2021];48(1):e5.
Disponible en: https://thejns.org/focus/view/journals/neurosurg-focus/48/1/article-pE5.xml
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