Neuroendoscopic stent procedure in obstructive hydrocephalus due to both foramina of monro occluding craniopharyngioma: technical note
| Autor: | Wuttipong Tirakotai, Thomas Riegel, Dieter Hellwig, Dirk Michael Schulte, Helmut Bertalanffy |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Palliative care medicine.medical_treatment Adenocarcinoma Cerebral Ventricles Craniopharyngioma medicine Humans Pituitary Neoplasms Cerebral Ventriculography Device Removal Aged Gastrointestinal Neoplasms Third Ventricle Third ventricle business.industry Palliative Care Endoscopic third ventriculostomy Stent Neoplasms Second Primary medicine.disease Magnetic Resonance Imaging Cerebrospinal Fluid Shunts Abdominal mass Shunt (medical) Surgery medicine.anatomical_structure Neuroendoscopy Cerebral ventricle Female Stents Neurology (clinical) medicine.symptom Tomography X-Ray Computed business Hydrocephalus |
| Zdroj: | Surgical Neurology. 61:293-296 |
| ISSN: | 0090-3019 |
| DOI: | 10.1016/s0090-3019(03)00424-5 |
| Popis: | Background The development of various neuroendoscopic surgical instruments has offered more options for endoscopic procedures in the treatment of intraventricular tumors. Not only tumor biopsy or tumor resection but also restoration of an obstructed cerebral spinal fluid (CSF) pathway can be performed using the same approach. Method A 76-year-old woman with a cardiac pacemaker for an underlying heart disease was diagnosed with obstructive hydrocephalus because of a third ventricular tumor 8 years ago. The patient had been treated with ventriculo-peritoneal shunt placement. At admission she presented with a subcutaneous infection of the shunt catheter and an abdominal mass of unknown etiology. Neuroendoscopic stenting between lateral and third ventricle was performed to restore the obstructed CSF pathway, and the infected shunt system was removed in the same setting. Result The postoperative course was uneventful. Contrast ventriculography demonstrated a restored CSF pathway between the lateral and third ventricle. Histologic examination of the intraventricular tumor revealed a craniopharyngioma, and the abdominal mass was diagnosed as a gastrointestinal adenocarcinoma. Conclusion The neuroendoscopic foraminoplasty technique should be considered as an alternative treatment for patients who present with an obstructive hydrocephalus caused by a tumor that occludes both foramina of Monro when shunt placement or endoscopic third ventriculostomy is not feasible. |
| Databáze: | OpenAIRE |
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