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Journal of Neurosurgical Sciences 1998 September;42(3):137-43

Copyright © 1998 EDIZIONI MINERVA MEDICA

language: English

Provision of a neuroendoscopy service. The Southampton experience

Devitiis O.

1 Wessex Neurological Centre, Southampton, UK; 2 Department of Neurosurgery, IRCCS, Osp. Maggiore Policlinico, University of Milan, Italy


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Background. A ­series of 21 ­patients (­aged 1 ­week to 80 ­years) under­went a ­total of 22 neu­ro­en­do­scop­ic pro­ce­dures in ­our Unit in ­the peri­od July 1993 to January 1996.
Methods. The pro­ce­dures ­were per­formed by ­one sur­geon famil­iar ­with ­the tech­nique ­using ­the Stortz rig­id neu­ro­en­do­scope ­system.
The ­most com­mon indi­ca­tion ­for neu­ro­en­dos­co­py ­was obstruc­tive hydro­ceph­al­us. The ­most fre­quent­ly per­formed pro­ce­dure ­was ­third ven­tric­u­los­to­my ­and ­tumor biop­sy.
The intend­ed sur­gi­cal pro­ce­dure ­was suc­cess­ful­ly per­formed in ­all ­but ­two of ­the cas­es (attempt­ed sep­tos­to­my ­and inter­nal ­cyst drain­age) ­were ­both aban­doned ­due to unrec­og­nis­able anat­o­my.
Results. Of ­the 19 ­patients treat­ed by fen­es­tra­tion or ven­tric­u­los­to­my to ­relieve hydro­ceph­al­us, 5 even­tu­al­ly ­required defin­i­tive shunt­ing pro­ce­dures.
Conclusions. Complications relat­ing direct­ly to ­the neu­ro­en­dos­co­py ­occurred in 2 ­patients (bleed­ing requir­ing tem­po­rary exter­nal ven­tric­u­lar ­drain) ­and ­there ­were no sur­gi­cal ­deaths.

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