Electromagnetic navigation-guided neuroendoscopic transfrontal transaqueductal fenestration of expansive posterior fossa arachnoid cyst with simultaneous endoscopic third ventriculostomy in an infant
Jazyk angličtina Země Německo Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články
PubMed
29846773
DOI
10.1007/s00381-018-3847-1
PII: 10.1007/s00381-018-3847-1
Knihovny.cz E-zdroje
- Klíčová slova
- Electromagnetic neuronavigation, Endoscopic third ventriculostomy, Neuroendoscopy, Posterior fossa cyst, Transaqueductal fenestration,
- MeSH
- arachnoidální cysty komplikace chirurgie MeSH
- elektromagnetické jevy MeSH
- hydrocefalus etiologie chirurgie MeSH
- lidé MeSH
- neuroendoskopie metody MeSH
- neuronavigace metody MeSH
- předškolní dítě MeSH
- třetí mozková komora chirurgie MeSH
- ventrikulostomie metody MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
INTRODUCTION: We present an infant with an expansive posterior fossa arachnoid cyst and severe clinical deterioration due to decompensated obstructive hydrocephalus. Given the dilated Sylvius aqueduct, we favoured the endoscopic transfrontal transaqueductal route to approach the cyst. CASE REPORT: A 12-month-old boy was acutely admitted for severe symptoms of intracranial hypertension. Imaging revealed spacious cystic formation in the posterior fossa with expansive behaviour towards the brain stem, fourth ventricle and cerebellum associated with obstructive triventricular hydrocephalus. The patient underwent electromagnetically navigated transfrontal transaqueductal cyst fenestration with simultaneous ETV from two precoronal trajectories with a rigid endoscope. CONCLUSION: A transaqueductal approach with a rigid endoscope is rarely published, and we were amazed by the impact on the child's clinical improvement after this minimally invasive endoscopic procedure. The case is well documented with imaging and perioperative neuroendoscopic views.
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Childs Nerv Syst. 2004 Nov;20(11-12):821-7 PubMed
Neurosurgery. 2014 Apr;74(4):426-35; discussion 436 PubMed
Surg Neurol. 1979 Dec;12(6):467-71 PubMed
J Neurosurg. 2006 Dec;105(6):924-7 PubMed
Neurosurgery. 1999 Sep;45(3):508-15; discussion 515-8 PubMed
Neurosurgery. 2009 Dec;65(6):1078-85; discussion 1085-6 PubMed
Neurosurgery. 2007 Apr;60(4 Suppl 2):249-53; discussion 254 PubMed
Pediatr Radiol. 2004 Sep;34(9):720-32 PubMed
J Neurosurg Pediatr. 2008 Jan;1(1):35-9 PubMed
