Percutaneous ventriculocisternal shunt. Technical note.
A modification of the Torkildsen ventriculocisternal shunting procedure, used successfully in a patient with bilateral obstruction of the foramina of Monro, is described. Through bilateral occipital burr holes, a "U-tube" system interconnected the two lateral ventricles. Spinal fluid was then drained with a separate Spetzler catheter passed from one lateral ventricle into the cisterna magna. A posterior percutaneous insertion technique (standard puncture of the cisterna magna) was used to place the catheter into this subarachnoid space.
D000328:Adult; D002557:Cerebrospinal Fluid Shunts / Q000379:methods*; D002946:Cisterna Magna; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D009369:Neoplasms; D013786:Thalamic Diseases / Q000150:complications / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed