title: Neuroendoscopic septostomy for isolated lateral ventricle.
abstract: The clinical features and endoscopic findings were investigated in 20 patients with isolated lateral ventricle treated by neuroendoscopic septostomy to establish cerebrospinal fluid communication and open an isolated ventricular compartment. The endoscopic procedure was incomplete because of thickened septum pellucidum and insufficient working space in two adults with postmeningitic hydrocephalus. Two children underwent second septostomy. In all other cases, results were good and there were no complications related to endoscopic procedures. Endoscopic septostomy is less invasive and has few complications. Intraoperative navigation and the biportal approach may be required in difficult cases with multiple septum formation and severe postmeningitic hydrocephalus. Adequate stomal size is required in high-risk groups including children under 2 years of age.
authors.affiliation: Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Toyama, Japan. hihdeo@ms.toyama-mpu.ac.jp
authors.forename: Hideo
authors.initials: H
authors.lastname: Hamada
authors.forename: Nakamasa
authors.initials: N
authors.lastname: Hayashi
authors.forename: Masanori
authors.initials: M
authors.lastname: Kurimoto
authors.forename: Kimiko
authors.initials: K
authors.lastname: Umemura
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Hirashima
authors.forename: Shunro
authors.initials: S
authors.lastname: Endo
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy / Q000379:methods; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D007223:Infant; D020547:Lateral Ventricles / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D012086:Reoperation; D012688:Septum Pellucidum / Q000601:surgery*; D014057:Tomography, X-Ray Computed