title: Microscopic supraciliary approach for terminal laminotomy for treatment of hydrocephalus: a preliminary report of eight cases.
abstract: OBJECTIVE
  Shunting and endoscopic third ventriculostomy for treatment of     hydrocephalus have their own complications which make the management of such     patients more difficult. We have examined the subfrontal route to fenestrate     lamina terminalis in order to achieve relief of hydrocephalus in eight     consecutive patients.
  
  
  METHODS
  Eight patients with the diagnosis of     hydrocephalus were chosen. A supraciliary approach to the central skull base was     used to fenestrate the lamina terminalis to allow cerebrospinal fluid egress     from the third ventricle to the basal cisterns.
  
  
  RESULTS
  Clinical and/or     radiological remission of hydrocephalus symptoms were observed in all patients.     No complications were encountered in this small series of patients.
  
  
  CONCLUSIONS
  Microsurgical third ventriculo-cisternostomy through a supraciliary might be a     reasonable alternative to endoscopic third ventriculostomy. However, a more     sample size with controlled subjects is required to draw conclusions and     comparisons with other techniques of treatment of hydrocephalus.
authors.affiliation: Imam Khomeini Hospital, Department of Neurosurgery, Tehran, Islamic Republic of Iran. tayebi_a77@yahoo.com
authors.forename: Ali Tayebi
authors.initials: AT
authors.lastname: Meybodi
authors.forename: Seyed Mojtaba
authors.initials: SM
authors.lastname: Miri
mesh_terms: D000293:Adolescent; D000328:Adult; D002675:Child, Preschool; D003399:Craniotomy / Q000379:methods; D004724:Endoscopy; D005260:Female; D020546:Fourth Ventricle / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D007031:Hypothalamus / Q000033:anatomy & histology / Q000601:surgery*; D007796:Laminectomy / Q000379:methods*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology; D016896:Treatment Outcome; D014696:Ventriculostomy / Q000379:methods*; D055815:Young Adult