Neuroendoscopic third ventriculostomy in dysmorphic brains.
Neuroendoscopic third ventriculostomy (NTV) has superseded shunting as the treatment of choice in non-communicating hydrocephalus. Intracranial developmental anomalies have been considered to be relative contraindications for this procedure. We present one patient with a Dandy-Walker malformation and another with septo-optic dysplasia who presented with hydrocephalus. An NTV was performed successfully in both patients using a flexible neuroendoscope and utilising transendoscopic Doppler ultrasound to ensure a safe target area for ventriculostomy.
Cartmill
M
M
Department of Neurosurgery, Queen's Medical Centre, University Hospital, Nottingham, UK. mariacartmill@doctors.org.uk
Jaspan
T
T
McConachie
N
N
Vloeberghs
M
M
D001921:Brain / Q000002:abnormalities* / Q000601:surgery*; D002552:Cerebral Ventricles / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D003616:Dandy-Walker Syndrome / Q000175:diagnosis / Q000601:surgery*; D004677:Encephalocele / Q000473:pathology / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000601:surgery*; D007223:Infant; D008279:Magnetic Resonance Imaging; D009778:Occipital Lobe / Q000473:pathology / Q000601:surgery; D018608:Ultrasonography, Doppler; D014696:Ventriculostomy / Q000379:methods*