Neuroendoscopic options in myelomeningocele related hydrocephalus

Introduction: The use of neuroendoscopic for the management of myelomeningocele-associated hydrocephalus is still controversial. Anatomic variations and abnormalities of the ventricular system and the confusing topography of the floor of the third ventricle are of utmost importance in this approach....

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Publicado: Brazilian Society for Pediatric Neurosurgery 2020
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spelling oai:doaj.org-article:7f7c2820d409469cbd06709d384155bd2021-11-23T21:46:36ZNeuroendoscopic options in myelomeningocele related hydrocephalus2675-362610.46900/apn.v2i3(September-December).57https://doaj.org/article/7f7c2820d409469cbd06709d384155bd2020-10-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/57https://doaj.org/toc/2675-3626Introduction: The use of neuroendoscopic for the management of myelomeningocele-associated hydrocephalus is still controversial. Anatomic variations and abnormalities of the ventricular system and the confusing topography of the floor of the third ventricle are of utmost importance in this approach. Case presentation: The present case video displayed a case of a 4-year-old girl with myelomeningocele related hydrocephalus presented with a closure of third ventriculostomy after tethered cord release. Several neuroendoscopic options were depicted such as third ventriculostomy using bipolar diathermia, ventriculocystostomy of a quadrigeminal arachnoid cyst and a choroid plexus cauterization as a strategy to improve the success rate of this procedure and handle the difficulties presented in this form of hydrocephalus. Discussion: This video warned the young neurosurgeons regarding ventricular anatomic challenges presented in this case as well as the need of customization of neuroendoscopic approach. Conclusion: Neuroendoscopic approach is an effective strategy to manage myelomeningocele-associated-hydrocephalus.Brazilian Society for Pediatric Neurosurgeryarticlethird ventriculostomy, myelomeningocele, ventriculocystostomy, choroid plexus coagulation.PediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 2, Iss 3(September-December), Pp e572020-e572020 (2020)
institution DOAJ
collection DOAJ
language EN
topic third ventriculostomy, myelomeningocele, ventriculocystostomy, choroid plexus coagulation.
Pediatrics
RJ1-570
Surgery
RD1-811
spellingShingle third ventriculostomy, myelomeningocele, ventriculocystostomy, choroid plexus coagulation.
Pediatrics
RJ1-570
Surgery
RD1-811
Neuroendoscopic options in myelomeningocele related hydrocephalus
description Introduction: The use of neuroendoscopic for the management of myelomeningocele-associated hydrocephalus is still controversial. Anatomic variations and abnormalities of the ventricular system and the confusing topography of the floor of the third ventricle are of utmost importance in this approach. Case presentation: The present case video displayed a case of a 4-year-old girl with myelomeningocele related hydrocephalus presented with a closure of third ventriculostomy after tethered cord release. Several neuroendoscopic options were depicted such as third ventriculostomy using bipolar diathermia, ventriculocystostomy of a quadrigeminal arachnoid cyst and a choroid plexus cauterization as a strategy to improve the success rate of this procedure and handle the difficulties presented in this form of hydrocephalus. Discussion: This video warned the young neurosurgeons regarding ventricular anatomic challenges presented in this case as well as the need of customization of neuroendoscopic approach. Conclusion: Neuroendoscopic approach is an effective strategy to manage myelomeningocele-associated-hydrocephalus.
format article
title Neuroendoscopic options in myelomeningocele related hydrocephalus
title_short Neuroendoscopic options in myelomeningocele related hydrocephalus
title_full Neuroendoscopic options in myelomeningocele related hydrocephalus
title_fullStr Neuroendoscopic options in myelomeningocele related hydrocephalus
title_full_unstemmed Neuroendoscopic options in myelomeningocele related hydrocephalus
title_sort neuroendoscopic options in myelomeningocele related hydrocephalus
publisher Brazilian Society for Pediatric Neurosurgery
publishDate 2020
url https://doaj.org/article/7f7c2820d409469cbd06709d384155bd
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