Endoscopic ventriculocystostomy through the septum pellucidum via the contralateral anterior horn--technical note.
Paraventricular fluid cysts have recently been treated by endoscopic fenestration performed from the cysts to the ventricular system. However, correct orientation and safe navigation of the endoscope may be difficult in patients with abnormal anatomy. Endoscopic fenestration from the ventricular system to a cyst was performed through penetration of the septum pellucidum via the anterior horn of the contralateral lateral ventricle. The advantage of this approach is correct orientation and introduction of the endoscope to the periventricular lesion because the usual landmarks can be identified in the normal contralateral lateral ventricle.
Hayashi
Nakamasa
N
Department of Neurosurgery, Faculty of Medicine, Toyama Medical and Pharmaceutical University, 2630 Sugitani, Toyama 930-0194, Japan. nakamasa@iwa.att.ne.jp
Hamada
Hideo
H
Umemura
Kimiko
K
Kurimoto
Masanori
M
Hirashima
Yutaka
Y
Endo
Shunro
S
D000328:Adult; D020863:Central Nervous System Cysts / Q000175:diagnosis / Q000601:surgery*; D004724:Endoscopy; D005625:Frontal Lobe / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D016489:Head Injuries, Closed / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012688:Septum Pellucidum / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014696:Ventriculostomy