title: Endoscopic opening of the foramen of magendie using transaqueductal navigation for membrane obstruction of the fourth ventricle outlets. Technical note.
abstract: A membrane obstruction of the foramina of Magendie and Luschka is an uncommon origin of hydrocephalus characterized by unusual clinical symptoms of rhomboid fossa hypertension. Various surgical approaches have been proposed to alleviate this obstruction, including opening the obstructed foramen of Magendie using suboccipital craniectomy, shunting procedures, and more recently, endoscopic third ventriculostomy (ETV). In some cases, however, reshaping of the posterior fossa due to the collapse of the prepontine cistern could make ETV difficult for the surgeon and dangerous to the patient. In these cases, endoscopic opening of the foramen of Magendie by transaqueductal navigation of the fourth ventricle is a suitable and feasible therapeutic option.
authors.affiliation: Neurosurgical Unit, Treviso Hospital, Padova University, Treviso, Italy.
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Longatti
authors.forename: Alessandro
authors.initials: A
authors.lastname: Fiorindi
authors.forename: Alberto
authors.initials: A
authors.lastname: Feletti
authors.forename: Vittorio
authors.initials: V
authors.lastname: Baratto
mesh_terms: D002535:Cerebral Aqueduct / Q000473:pathology / Q000601:surgery*; D005260:Female; D020546:Fourth Ventricle / Q000473:pathology / Q000601:surgery*; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008566:Membranes / Q000601:surgery; D008875:Middle Aged; D044583:Neuroendoscopy / Q000379:methods*; D038361:Neuronavigation / Q000379:methods*; D020542:Third Ventricle / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014696:Ventriculostomy / Q000379:methods*