Michael J Fritsch1, Henry W S Schroeder. 1. Department of Neurosurgery, Ernst Moritz Arndt Universität Greifswald, Greifswald, Germany. fritschm@dbknb.de
Abstract
OBJECTIVE: This paper discusses indications for and the technique of endoscopic aqueductoplasty with stenting. METHODS: We review and summarize the clinical experience with endoscopic aqueductoplasty gained over the last 15 years on pediatric and adult patients. RESULTS: Endoscopic aqueductoplasty with stenting presents a safe procedure. In well selected patients, it provides a long-term, stable clinical course. Aqueductoplasty alone has a high reclosure rate and should be avoided. CONCLUSIONS: Aqueductoplasty with stenting is the procedure of choice for the treatment of isolated fourth ventricle. Membranous and tumor-related aqueductal stenosis should be treated by endoscopic third ventriculostomy.
OBJECTIVE: This paper discusses indications for and the technique of endoscopic aqueductoplasty with stenting. METHODS: We review and summarize the clinical experience with endoscopic aqueductoplasty gained over the last 15 years on pediatric and adult patients. RESULTS: Endoscopic aqueductoplasty with stenting presents a safe procedure. In well selected patients, it provides a long-term, stable clinical course. Aqueductoplasty alone has a high reclosure rate and should be avoided. CONCLUSIONS: Aqueductoplasty with stenting is the procedure of choice for the treatment of isolated fourth ventricle. Membranous and tumor-related aqueductal stenosis should be treated by endoscopic third ventriculostomy.
Authors: Sebastian Antes; Mohamed Salah; Stefan Linsler; Christoph A Tschan; David Breuskin; Joachim Oertel Journal: Childs Nerv Syst Date: 2015-10-10 Impact factor: 1.475
Authors: Alexander G Weil; Harrison Westwick; Shelly Wang; Naif M Alotaibi; Lior Elkaim; George M Ibrahim; Anthony C Wang; Rojine T Ariani; Louis Crevier; Bethany Myers; Aria Fallah Journal: Childs Nerv Syst Date: 2016-09-09 Impact factor: 1.475