[Theory and Practice of Endoscopic Third Ventriculostomy].
No Shinkei Geka
; 50(2): 366-375, 2022 Mar.
Article
em Ja
| MEDLINE
| ID: mdl-35400654
ABSTRACT
Endoscopic third ventriculostomy(ETV)is a basic procedure for the surgical treatment of hydrocephalus. It buffers pulsatile pressure by creating an alternative route for the flow of cerebrospinal fluid and reduces trans-mantle pulsatile stress, thereby increasing compliance of the brain parenchyma. Blunt perforation of the third ventricular floor is done while avoiding injury to the foramen of Monro, the hypothalamus, the pituitary stalk, and some cisternal vessels. A major complication of ETV is arterial bleeding caused by injury to the basilar artery. Surgeons should wait with irrigation and opening the root into the ventricle to control the intra-ventricular pressure until packing the third ventricle with hematoma. Since ETV may close by gliosis or scarring of the inter-peduncular cistern, regular physical examinations and MRI should follow the procedure.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Terceiro Ventrículo
/
Neuroendoscopia
/
Hidrocefalia
Limite:
Humans
Idioma:
Ja
Ano de publicação:
2022
Tipo de documento:
Article