Role of Neuroendoscopy in Management of Intraventricular Lesions | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 20, Volume 72, Issue 9, July 2018, Page 5259-5269 PDF (664.13 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2018.10866 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Shehab Mohamed El Khadrawy; Mohamed Ahmed Ellabbad; Ahmed Mohamed Alzebak 
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| Department Neurosurgery, Elhussin University Hospital, Cairo, Egypt. | ||||
| Abstract | ||||
| Objective: Intraventricular (IV) lesions are easily being approached with the endoscope through the ventricular system, because intraventricular tumors often cause cerebrospinal fluid (CSF) pathway obstruction and hydrocephalus. The aims of endoscopy in intraventricular tumors are usually the restoration of CSF pathway obstruction, clarification of the histology, and if possible, a complete tumor removal. Methods: Twenty five consecutive cases with IV lesions were removed or biopsied with or without ETV and septum pellucidostomy. Patient information was retrospective entered into a database. Outcomes were evaluated by life table analysis. Results: Twenty five patients had completed with ETV in 16 cases; six cases by cyst fenestration, seven cases tumor biopsy 10 cases cyst removal, two cases hematoma were evacuated. 16 cases improved post-operative (clinical and radiological), three cases needed VP shunt, Three cases with same clinical as pre-operative, One case presented with paresis, Two cases operated microscopically after one year. Conclusions: The advantages of the endoscopic approach are minimal dissection and brain retraction. Reach to the target is rapid. The method of choice for removal of colloid cysts, arachnoid cysts and restore CSF pass way obstructed by lesions at the same operation. | ||||
| Keywords | ||||
| Arteriovenous malformation; Cerebrospinal Fluid; Endoscopic third ventriculostomy; External ventricular drain; Intra cranial pressure; Intraventricular hemorrhage; Ventriculoperitoneal; Aqueduct of Salvias | ||||
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