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Endoscopic Third Ventriculostomy in Treatment of Obstructive Hydrocephalus Caused by Primary Aqueductal Stenosis

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Minimally Invasive Techniques for Neurosurgery

Summary

Primary aqueductal stenosis is a rare cause of obstructive hydrocephalus. Etiology of this lesion remains unclear till today. Possible factors causing primary aqueductal stenosis such as genetic dis orders, infectious disease or vitamin shortage during pregnancy are described. A total of 22 patients with primary aqueductal stenosis are presented, 8 of whom are treated by CSF shunt placement and 14 with an endoscopic third ventriculostomy. The efficacy of third ventriculostomy compared to conventional CSF diversion techniques in treatment of chronic obstructive hydrocephalus is discussed.

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References

  1. Bauer BL, Hellwig D (1994) Minimally invasive neurosurgery - a survey. Acta Neurochir Suppl 61:1–12

    PubMed  CAS  Google Scholar 

  2. Bauer BL, Hellwig D (1995) Intracerebral and intraspinal endoscopy. In: HH Schmidek, WH Sweet (eds) Operative neurosurgical techniques, 3rd edn. Saunders, Philadelphia, pp 695–713

    Google Scholar 

  3. Castro-Gago M, Alonso A, Eiris-Punal J (1996) Autosomal recessive hydrocephalus with aqueductal stenosis. Childs Nery Syst 12 (4):188–191

    Article  CAS  Google Scholar 

  4. Camaert J, Abdullah J (1994) A multipurpose cerebral endoscope and reflections on technique and instrumentation in endoscopic neurosurgery. Acta Neurochir Suppl (Wien) 61:49–53

    Google Scholar 

  5. Cohen A (1993) Endoscopic laser third ventriculostomy. N Engl J Med 328: 552

    Article  PubMed  CAS  Google Scholar 

  6. Dandy WE (1922) Cerebral ventriculoscopy. Bull Johns Hopkins Hosp 33:189–190

    Google Scholar 

  7. Dauch WA, Wranze-Bielefeld E, Lütcke E, et al. (1992) Indiopathischer Hydrozephalus in der Adoleszenz. Monatsschr Kinderheilkd 140: 357–362

    CAS  Google Scholar 

  8. Epstein F, Lapras C, Wisoff JH (1988) “Slit ventricle syndrome.” Etiology and treatment. Pediatr Neurosci 14:5–10

    Article  PubMed  CAS  Google Scholar 

  9. Forrest DM, Cooper DGW (1968) Complications of ventriculo-atrial shunt infections. A review of 455 cases. J Neurosurg 29: 506–512

    Article  Google Scholar 

  10. George R, Leibrock L, Epstein M (1979) Long-term analysis of cerebrospinal fluid shunt infections. J Neurosurg 51: 804–811

    Article  PubMed  CAS  Google Scholar 

  11. Griffith HB (1987) Endoscopic intracranial surgery. In: Advances of neurosurgery, vol 14 Springer, Berlin Heidelberg New York, pp 2–24

    Google Scholar 

  12. Haverkamp F, Krämer A, Fahnenstich H et al. (1996) X-chromosomal recessive hydrocephalus internus: a separate disease picture? 2 further case reports and review of literature. Klin Pediatr 208 (3): 93–96

    Article  CAS  Google Scholar 

  13. Hayden PW, Shurtleff DB, Stunts TJ (1983) A longitudinal study of shunt function in 36o patients with hydrocephalus. Dev Med Child Neurol 25: 334–337

    Article  PubMed  CAS  Google Scholar 

  14. Hellwig D, Bauer BL, List-Hellwig E, Mennel HD (1991) Stereotactic procedures on processes of the cranial midline. Acta Neurochir Suppl (Wien) 53: 23–32

    Article  CAS  Google Scholar 

  15. Hellwig D, Bauer BL (1992) Minimally invasive neurosurgery by means of ultrathin endoscopes. Acta Neurochir Suppl (Wien) 74:63–68

    Article  Google Scholar 

  16. Hirsch JF, Hirsch E, Sainte-Rose C et al. (1986) Stenosis of the aqueduct of Sylvius. J Neurosurg Sci 30: 29–39

    PubMed  CAS  Google Scholar 

  17. Hoffmann HJ, Harwood-Nash D, Gilday DL (1980) Percutaneous third ventriculostomy in the management of noncommunicating hydrocephalus. Neurosurgery 7: 313–321

    Article  Google Scholar 

  18. Hofmann E, Becker T, Meixensberger J, Jackel M et al. (1995) Disturbances of cerebrospinal fluid (CSF) circulation - neuropsychiatric symptoms and neuroradiological contribution. J Neural Transm Gen Sect 99 (1–3): 79–88

    Article  PubMed  CAS  Google Scholar 

  19. Hyde-Rowan MD, Rekate HL, Nulsen FE (1982) Reexpansion of previously collapsed ventricles: the slit ventricle syndrome. J Neurosurg 56: 536–539

    Article  PubMed  CAS  Google Scholar 

  20. Jack CR, Kelly PJ (1989) Stereotactic third ventriculostomy: assessment of patency with MR imagery. AJNR Am J Neuro-radiol 10 (3): 515–522

    Google Scholar 

  21. Johnson RT, Johnson KP (1969) Hydrocephalus as a sequela of experimental myxovirus infections. Exp Mol Path 10:68–80

    Article  Google Scholar 

  22. Jones RFC, Kwok B, Stening W et al. (1994) Neuroendoscopic third ventriculostomy. A practical alternative to extracranial shunts in non-communicating hydrocephalus. Acta Neurochir Suppl (Wien) 61:79–83

    CAS  Google Scholar 

  23. Kadowaki C, Hara M, Numoto M et al. (1995) Cine magnetic imaging of aqueductal stenosis. Childs Nery Syst 11 (2):107–111

    Article  CAS  Google Scholar 

  24. Kelly PJ (1991) Stereotactic third ventriculostomy in patients with nontumoral adolescent/adult onset of aqueductal stenosis and symptomatic hydrocephalus. J Neurosurg 75: 865–873

    Article  PubMed  CAS  Google Scholar 

  25. Keucher TR, Mealey J (1979) Long-term results after ventriculo-aterial and ventriculoperitoneal shunting for infantile hydrocephalus. J Neurosurg 50: 186–197

    Google Scholar 

  26. Kunz U, Goldmann A, Bader C et al. (1994) Endoscopic fenestration of the 3rd ventricular floor in aqueductal steno-sis. Minim Invasive Neurosurg 37: 42–47

    Article  PubMed  CAS  Google Scholar 

  27. Lang J (1991) Topographic anatomy of performed intra-cranial spaces. Acta Neurochir Suppl (Wien) 54:1–10

    Article  Google Scholar 

  28. Levitsky DB, Mack LA, Nyberg DA (1995) Fetal aqueductal stenosis diagnosed sonographically: how grave is the prognosis? AJR 164 (3): 721–730

    Google Scholar 

  29. Manwaring K (1922) Endoscopic ventricular fenestration. In: Manwaring K, Crone KR (eds) Neuroendoscopy 1. Mary Ann Liebert, New York, pp 79–79

    Google Scholar 

  30. Mixter WJ (1923) Ventriculoscopy and puncture of the third ventricle. Boston Med Surg J 188: 277–278

    Google Scholar 

  31. Nulsen FE, Spitz EB (1952) Treatment of hydrocephalus by direct shunt from ventricle to jugular vein. Surg Forum 2: 399–403

    Google Scholar 

  32. Oka K, Go Y, Utsunomiya H et al. (1995) The radiographic restoration of the ventricular system after third ventriculostomy. Minim Invasive Neurosurg 38 (4):1568–162

    Article  Google Scholar 

  33. Okamoto N, Wada Y, Kawabata H (1996) A novel mutation in LICAM gene in a Japanese patient with X-linked hydrocephalus. Jpn J Hum Gent 41: 431–437

    Article  CAS  Google Scholar 

  34. Overholser MD, Whitley JR, O’Dell BL et al. (1954) The ventricular system in hydrocephalic rat brains produced by a deficiency of vitamin B,,. or folic acid in the maternal diet. Anat Rec 120: 917–933

    Article  PubMed  CAS  Google Scholar 

  35. Pudenz RH (1980) The surgical treatment of hydrocephalus - a historical review. Surg Neuro 115:15–26

    Google Scholar 

  36. Raimondi AJ, Matsumoto S (1967) A simplified technique for performing the ventriculoperitoneal shunt (technical note). J Neurosurg 26:357–360

    Article  PubMed  CAS  Google Scholar 

  37. Renier D, Lacombe J, Pierre Kahn A et al. (1984) Factors causing acute shunt infection. Computer analysis of 1174 operations. J Neurosurg 61:1072–1078

    Article  PubMed  CAS  Google Scholar 

  38. Sainte-Rose C (1992),Third ventriculostomy. In: Manwaring KH, Crone KR (eds) Mary Ann Liebert, New York, pp 47–62

    Google Scholar 

  39. Sayers NP, Kosnik EJ (1976) Third ventriculostomy as the rational treatment of obstructive hydrocephalus. Childs Brain 2:24–30

    PubMed  CAS  Google Scholar 

  40. Scarff JE (1935) Third ventriculostomy as a rational treatment of obstructive hydrocephalus. J Pediatr 6: 870–871

    Google Scholar 

  41. Seow WK, Needleman HL, Smith LE (1995) Enamel hypoplasia, bilateral cataracts, and aqueductal stenosis: a new syndrome? Am J Med Genet 58 (4): 371–373

    Article  PubMed  CAS  Google Scholar 

  42. Stookey B, Scarff J (1936) Occlusion of the aqueduct of Sylvius by neoplastic and non-neoplastic processes with a rational surgical treatment for relief of the resultant obstructive hydrocephalus. Bull Neurol Inst NY 5: 348–377

    Google Scholar 

  43. Takechi T, Tohyama J, Kurashige T et al. (1996) A deletion of five nucleotides in the LICAM gene in a Japanese family with X-linked hydrocephalus. Hum Genet 97 (3): 353–356

    Article  PubMed  CAS  Google Scholar 

  44. Torkildson A (1960) A follow-up study 14 to 20 years after ventriculo-cisternostomy. Acta Psch Neurol Scand 35:113–121

    Article  Google Scholar 

  45. Vries JK (1978) An endoscopic technique for third ventriculostomy. Surg Neurol 9:165–168

    PubMed  CAS  Google Scholar 

  46. Walters BC, Hoffmann HJ, Hendrick EB et al. (1984) Cerebrospinal fluid shunt infection. Influences on initial management and subsequent outcome. J Neurosurg 60:1014–1021

    Google Scholar 

  47. Woodard J, Newberne PM (1967) The pathogenesis of hydrocephalus in newborn rats deficient in vitamin B12. J Embryol Exp Morph 17:117–187

    Google Scholar 

  48. Yamasaki F, Kodama Y, Hotta T et al. (1996) Adult onset aqueductal stenosis caused by membraneous occlusion in the aqueduct: a case report. No Shinkei Geka 24 (8): 745–748

    PubMed  CAS  Google Scholar 

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Authors
  1. D. Hellwig
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  2. A. Heinemann
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  3. T. Riegel
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Editors and Affiliations

  1. Zentrum für Operative Medizin I, Klinikum der Universität Marburg, Baldingerstraße 35, 35043, Marburg, Germany

    Dieter Hellwig  & Bernhard L. Bauer  & 

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© 1998 Springer-Verlag Berlin Heidelberg

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Hellwig, D., Heinemann, A., Riegel, T. (1998). Endoscopic Third Ventriculostomy in Treatment of Obstructive Hydrocephalus Caused by Primary Aqueductal Stenosis. In: Hellwig, D., Bauer, B.L. (eds) Minimally Invasive Techniques for Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58731-3_10

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  • DOI: https://doi.org/10.1007/978-3-642-58731-3_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63701-8

  • Online ISBN: 978-3-642-58731-3

  • eBook Packages: Springer Book Archive

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