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JOURNAL OF NEUROSURGICAL SCIENCES

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Journal of Neurosurgical Sciences 1998 March;42(1):1-10

lingua: Inglese

Neuroendoscopy. Personal expe­ri­ence, indi­ca­tions ­and lim­its

Gangemi M., Maiuri F., Donati P., Sigona L., Iaconetta G., De Divitiis E.

Department of Neurosurgery, School of Medicine, University “Federico II”, Naples, Italy


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The ­authors ­report a ­series of 40 ­patients treat­ed by endo­scop­ic neu­ro­sur­gery. It ­includes 31 cas­es of obstruc­tive hydro­ceph­a­lus, 4 par­a­ven­tric­u­lar or intra­ven­tric­u­lar ­CSF ­cysts, 3 cas­es of mul­ti­loc­u­lat­ed hydro­ceph­a­lus, ­one supra­sel­lar arach­noid ­cyst ­and ­one cys­tic astro­cy­to­ma ­with ­mural ­tumor nod­ule. Third ven­tric­u­los­to­my is ­the ­most fre­quent indi­ca­tion of ­the endo­scop­ic neu­ro­sur­gery, ­which is ­very use­ful ­also ­for per­form­ing fen­es­tra­tion of ­CSF ­cysts ­and mul­ti­loc­u­lat­ed hydro­ceph­a­lus. The sur­gi­cal endo­scop­ic tech­niques in ­the dif­fer­ent ­above men­tioned pathol­o­gies ­are ­exposed. The cri­te­ria ­for ­patient selec­tion, ­the clin­i­cal ­results ­and ­the post­op­er­a­tive radio­log­i­cal find­ings, ­that con­firm ­the paten­cy of ­the fen­es­tra­tion, ­are dis­cussed.

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