Endoscopic Anatomy of the Ventricles

  • Philippe Decq


Dilated ventricular cavities are particularly suitable for neurosurgical endoscopy. Although purely diagnostic endoscopy is no longer particularly useful due to progress in medical imaging, especially MRI, this technique is still very useful for certain precise procedures optimally and most safely performed under visual control [1]. The main indication for neurosurgical endoscopy remains ventriculocisternostomy for the treatment of obstructive hydrocephalus. The other indications are much more limited due to the small number of cases to be treated, but include colloid cysts of the third ventricle or rare cases of biopsy of intraventricular lesions poorly accessible to stereotactic biopsy procedures. Intraventricular endoscopic navigation is facilitated by accurate guidance; in other words, the operator must always know where he is. It is therefore essential to have perfect knowledge of the intraventricular anatomy, in order at all times to recognize the part of the ventricular system in which the endoscope is situated and clearly identify the anatomical structures and outlines encountered [6].


Lateral Ventricle Basilar Artery Choroid Plexus Posterior Cerebral Artery Anterior Column 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Decq P, Yepes C, Anno Y, Djindjian M, Nguyen JP, Kéravel Y: L’endoscopie neurochirurgicale. Indications diagnostiques et thérapeutiques. Neurochirurgie 14:313–321, 1994Google Scholar
  2. 2.
    Lang J: Topographic anatomy of preformed intracranial spaces. In: Bauer BL, Hellwig D, (eds) Minimally invasive neurosurgery. Acta Neurochir (Wien) [suppl] 54:1–10, 1992CrossRefGoogle Scholar
  3. 3.
    Mapstone TB, Ratcheson RA: Techniques of ventricular puncture. In: Wilkins RH, Rengachary SS (eds) Neurosurgery, McGraw-Hill, New York, pp 151–152, 1985Google Scholar
  4. 4.
    Passagia JG, Gay E, Chirossel JP: Réseau veineux des ventricules latéraux. Neurochirurgie, 44, no 5, I–IV, 1998Google Scholar
  5. 5.
    Riegel T, Hellwig D, Bauer BL, Mennel HD: Endoscopic anatomy of the third ventricle. Acta Neurochir [suppl] 61:54–56, 1994Google Scholar
  6. 6.
    Segal S: Endoscopic anatomy of the ventricular system. In: King W, Frazee J, De Salles A (eds) Endoscopy of the central and peripheral nervous system. Thieme, Stuttgart, pp 37–57, 1998Google Scholar

Copyright information

© Springer-Verlag Italia 2005

Authors and Affiliations

  • Philippe Decq
    • 1
  1. 1.Service de NeurochirurgieHôpital Henri MondorCréteilFrance

Personalised recommendations