2013, Number 2
<< Back Next >>
Rev Cub Med Mil 2013; 42 (2)
Application of the Intracranial Neuroendoscopy in the treatment of neurosurgical patients
González OY, de Jongh CE, Rojas MJL, Junco MR, Córdova AF, Duboy LV
Language: Spanish
References: 21
Page: 164-172
PDF size: 160.16 Kb.
ABSTRACT
Introduction: since 2008, intracranial neuroendoscopic procedures are performed in
"Dr. Carlos J. Finlay" Military Central Hospital.
Objective: to show the safety and benefits of the intracranial neuroendoscopic
treatment.
Methods: a retrospective descriptive study was conducted in 18 patients suffering
from diseases that required intracranial neuroendoscopic treatment. Etiologic profile,
neuroendoscopic procedures preformed, surgical types and modalities applied and the
complications detected in three patients were examined.
Results: obstructive hydrocephalus was the main etiologic cause (93,75 %). A total
of 24 actions were performed; of them, Fenestration Endoscopic premamilar of the
floor of the third ventricle was the most used (62,5). Both actions were performed as
emergency and ambulatory treatments (33,33 % and 11,11 % respectively).
Conclusions: intracranial neuroendoscopy has an important function in the treatment
of neurosurgical patients. Obstructive hydrocephalus was the main treated entity and
the Fenestration Endoscopic premamilar of the floor of the third ventricle was the
main procedure performed. It is a safe behavior, the complications are minimal and
the treatment can be followed in an emergent form and even as ambulatory
treatment in patients with cystic lesions.
REFERENCES
Cohen AR. The history of Neuroendoscopy. Neuroendoscopy. New York: Mary Ann Inc; 1992. p. 3-8.
Dandy WE. Extirpation of the lateral ventricles in communicating hydrocephalus. Ann Surg. 1918;68:569-79.
Mixter WJ. Ventriculoscopy and puncture of the floor of the third ventricle: Preliminary report of a case. Boston Med Surg J. 1923;188:277-8.
Buxton N. Neuroendoscopic third ventriculostomy. Neurosurg Focus. 1999 Apr 15;6(4):e2-9.
Fukoshima T. Endoscopy of the Meckel´s cave, Cisterna Magna and cerebellopontine angle. Technical note. Neurosurg J. 1978;48:302-6.
de Jongh Cobo E, Pereira Riverón R, Fernández Benítez S, Bárbara Pastor A, Fernández de la Borrera M. Neuroendoscopia con soluciones alternativas. Rev Cubana Cir. 2005;5:10-3.
Michael L Levy, Nguyen A, Aryan H. Robotic virtual endoscopy: Development of a multidirectional rigid endoscope. Operative Neurosurgery. 2006;59:134-41.
Frank E. An adjustable ventriculoscope guide for use with stereotactic frames. Neurosurgery. 1991;29:789-90.
Hopf NJ, Grunert P, Fries G, Resch KD, Perneczky A. Endoscopic third ventriculostomy: outcome analysis of 100 consecutive procedures. Neurosurgery. 1999;44:795-805.
Kunz M, Schulte-Altedorneburg G, Uhl E, Schmid-Elsaesser R, Scholler K, Zausinger S. Three-dimensional constructive interference in steady-state magnetic resonance imaging in obstructive hydrocephalus: relevance for endoscopic third ventriculostomy and clinical results. J Neurosurg. 2008;109:931-8.
Cinalli G, Cappabianca P, de Falco R, Spennato P, Cianciulli E, Cavallo LM. Current state and future development of intracraneal neuroendoscopy surgery. Expert Rev Med Devices. 2005;2:251-373.
Santamarta D, Onzain I, Blázquez JA, Gómez-Moreta JA, Morales F. Ventriculostomia endoscópica: Influencia de factores predisponentes al fallo y evolución del tamaño ventricular. Neurocirugía. 2004;15:248-57.
Kulkarni AV, Drake JM, Armstrong DC, Dirks PB. Imaging correlates of successful endoscopic third ventriculostomy. J Neurosurg. 2000;92:915-9.
Jacksche H, Loew F. Burr-Hole third ventrículo-cisternostomy. An unpopular but effective procedure of treatment of certain form of occlusive hydrocephalus. Acta Neurochir. 1986;79:48-51.
Boschert J, Hellwing D, Krauss JK. Endoscopic third ventriculostomy. Neurosurgery. 2003;53:91-7.
Crandon IW, Ramcharan R, Hording H, Bruce CAR, Donalson G. Neuroendoscopia en Jamaica. West Indian Med J. 2005;54(1):34-7.
Gaab MR, Schroeder HW. Neuroendoscopy approach to intraventricular lesions. J Neurosurg. 2005;88:496-505.
Cappabianca P, Cinalli G, Gangemi M, Brunori ACavallo LM, de Diviitis E, Decq P, et al. Application of Neuroendoscopy to Intraventricular Lesions. Neurosurgery. 2008;62(2):575-98.
Gagliardi C, Fernández Molina G, Mariano Cuello G. Técnicas actuales en neurocirugía endoscópica. Buenos Aires: EG; 2007.
Zarate Méndez A, Hernandez Salazar M, Valdez Orduno R, Sosa Gallegos A, López Parra A, Solís Salgado O, Galicia tapia J. Análisis clínicos de la DVP asistida por neuroendoscopia para manejo de hidrocefalia compleja. Arch Neurocienc. 2006;11(3):170-6.
Pople IK, Edwards RJ, Aquilina K. Endoscopic methods of hydrocephalus treatment. Neurosurg Clin N Am. 2001;12:719-35.