Third ventriculostomy through the lamina terminalis for intracranial pressure monitoring after aneurysm surgery: technical note.
OBJECTIVE
A new ventriculostomy technique through the lamina terminalis is described. This technique is applied mainly during aneurysm surgery at the acute stage.


METHODS
Thirteen patients were operated on intracranial aneurysms and, during the procedure, had the lamina terminalis fenestrated. A ventricular catheter was inserted into the third ventricule, left in place and connected to an external drainage system for further intracranial pressure (ICP) monitoring and/or cerebrospinal fluid (CSF) drainage.


RESULTS
ICP readings and CSF drainage were obtained in all cases. No complication was recorded.


CONCLUSIONS
Third ventriculostomy through the lamina terminalis is a simple and easy technique that can be used as an alternative to conventional ventriculostomy. This procedure can be indicated in cases where the ventricule is not reached by means of another technique, and when the decision to perform ventriculostomy is made at the end of aneurysm surgery.
Kraemer
Jorge L
JL
Hospital São José, Irmandade da Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, Brasil. jkraemer@doctor.com
Gobbato
Pedro L
PL
Andrade-Souza
Yuri M
YM
D000328:Adult; D000368:Aged; D002404:Catheterization; D004322:Drainage; D005260:Female; D006801:Humans; D007031:Hypothalamus / Q000601:surgery*; D002532:Intracranial Aneurysm / Q000601:surgery*; D007427:Intracranial Pressure / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods; D020542:Third Ventricle / Q000601:surgery*; D014696:Ventriculostomy / Q000379:methods*