Operative management of third ventriculostomy in cases of thickened, non-translucent third ventricular floor: Technical note

Citation
T. Riegel et al., Operative management of third ventriculostomy in cases of thickened, non-translucent third ventricular floor: Technical note, MIN IN NEUR, 44(2), 2001, pp. 65-69
Citations number
25
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Neurology
Journal title
MINIMALLY INVASIVE NEUROSURGERY
ISSN journal
0946-7211 → ACNP
Volume
44
Issue
2
Year of publication
2001
Pages
65 - 69
Database
ISI
SICI code
0946-7211(200106)44:2<65:OMOTVI>2.0.ZU;2-8
Abstract
Today, endoscopic third ventriculostomy is an established operative modalit y in occlusive hydrocephalus. The elemental step in third ventriculostomy i s the perforation of the floor of the third ventricle. Especially with a th ickened third ventricular floor, anatomical orientation can be disturbed an d perforation of third ventricular floor technically difficult. The combina tion of a neuronavigation system with an endoscope provides interactive ima ge-guided neuroendoscopy. Exact planning of the approach is thus possible a nd the ideal trajectory to the target area can be determined. We have combi ned interactive neuronavigation and intraoperative fluoroscopy for incorpor ating real-time feedback to optimize endoscopy in patients with a thickened third ventricular floor selected for third ventriculostomy.