Endoscopic antegrade aqueductoplasty and stenting with panventricular catheter in management of trapped fourth ventricle in patients with inadequately functioning supratentorial shunt

Copyright: © 2020 Surgical Neurology International..

BACKGROUND: Trapped fourth ventricle (TFV) usually develops as a complication of supratentorial ventricular CSF shunting, especially when hydrocephalus is caused by intraventricular hemorrhage and/or infection. This study aimed to assess the feasibility of endoscopic aqueduct stenting using a single refashioned shunt tube to treat cases presenting with both TFV and shunt malfunction.

METHODS: We retrospectively collected and analyzed data from patients presenting with TFV and supratentorial shunt malfunction who underwent endoscopic aqueduct stenting using a refashioned shunt tube. All cases were treated at our institution between January 2010 and July 2019. The surgical technique is described.

RESULTS: Eighteen patients were enrolled in our study. There were ten males and eight females. The mean age was 11.2 years (range = 1-33 years). Headache, nausea, and vomiting were the most common clinical presentations. The mean duration of follow-up was 22.1 months (range = 6-60 months). All cases showed clinical and radiological improvement after surgery.

CONCLUSION: Endoscopic antegrade aqueductoplasty and stenting with the refashioned panventricular shunt catheter are an adequate treatment option for both TFV and supratentorial shunt malfuncion.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:11

Enthalten in:

Surgical neurology international - 11(2020) vom: 30., Seite 393

Sprache:

Englisch

Beteiligte Personen:

Elsharkawy, Ahmed Abdelaziz [VerfasserIn]
Elatrozy, Hytham [VerfasserIn]

Links:

Volltext

Themen:

Aqueductal stenting
Endoscopic aqueductoplasty
Journal Article
Refashioned shunt tube
Shunt malfunction
Trapped fourth ventricle

Anmerkungen:

Date Revised 18.04.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.25259/SNI_610_2020

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM318483343