ORIGINAL PAPERS   

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

Copyright © 1998 EDIZIONI MINERVA MEDICA

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

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.