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Ventriculostomy

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https://www.readbyqxmd.com/read/29048572/ventriculoscopic-surgery-for-cystic-retrochiasmatic-craniopharyngiomas-indications-surgical-technique-and-short-term-patient-outcomes
#1
Todd C Hollon, Luis E Savastano, David Altshuler, Ariel L Barkan, Stephen E Sullivan
BACKGROUND: Attempted gross-total resection for the management of cystic retrochiasmatic craniopharyngiomas can cause severe hypothalamic dysfunction and decrease overall survival. Ventriculoscopic surgery is a minimally invasive alternative; however, potential indications and technique have not been well defined. OBJECTIVE: To present our indications and technique for the ventriculoscopic treatment of cystic retrochiasmatic craniopharyngiomas. METHODS: We evaluated all patients with retrochiasmatic craniopharyngiomas for ventriculoscopic surgery...
October 18, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29042922/endoscopy-in-the-treatment-of-slit-ventricle-syndrome
#2
Jiaping Zheng, Guoqiang Chen, Qing Xiao, Yiyang Huang, Yupeng Guo
The present study aimed to investigate the efficacy of endoscopy in the treatment of post-shunt placement for slit ventricle syndrome (SVS). Endoscopic surgery was performed on 18 patients with SVS between October 2004 and December 2012. Sex, age, causes of the hydrocephalus, ventricular size and imaging data were collected and analyzed. All patients were divided into two groups according to ventricular size and underwent endoscopic surgeries, including endoscopic third ventriculostomy (ETV), endoscopic aqueductoplasty and cystocisternostomy...
October 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29027870/flow-diversion-of-a-recurrent-iatrogenic-basilar-tip-aneurysm-in-a-pediatric-patient-case-report
#3
Rahul A Sastry, Matthew J Koch, Benjamin L Grannan, Christopher J Stapleton, William E Butler, Aman B Patel
Endoscopic third ventriculostomy (ETV) is a common treatment for noncommunicating hydrocephalus. Although rare, vascular injury and traumatic pseudoaneurysm development during ETV have been reported. The authors present the case of a 13-year-old boy who underwent repeat ETV (rETV) for shunt and ETV failure, and who suffered an intraoperative subarachnoid hemorrhage due to iatrogenic injury to the basilar tip, with subsequent development of a pseudoaneurysm. Despite initial primary coil embolization, the aneurysm recurred and was definitively treated with flow diversion...
October 13, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29026673/endoscopic-management-of-a-cavernous-malformation-on-the-floor-of-third-ventricle-and-aqueduct-of-sylvius-technical-case-report-and-review-of-the-literature
#4
Luis Alberto Ortega-Porcayo, Alexander Perdomo-Pantoja, Isaac Jair Palacios-Ortíz, Salomon Cohen Cohen, Juan Pablo González-Mosqueda, Juan Luis Gómez-Amador
BACKGROUND: Intraventricular cavernous malformations are unusual intracranial vascular malformations; their deep anatomical location complicates their surgical management. Microsurgical approaches are the gold standard approaches for the resection of ventricular lesions, however, they imply considerable neurovascular risks. CASE DESCRIPTION: A 51-year-old patient presented with acute headache, diplopia, vertigo, blurred vision, and a depressed level of consciousness...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29025781/subclinical-meningoventriculitis-as-a-cause-of-obstructive-hydrocephalus
#5
Ravindran Visagan, Laurent James Livermore, Dominic Kelly, Shailendra Magdum
Communicating hydrocephalus may complicate infantile bacterial meningitis, typically presenting with systemic features of infection. We report a rare case of 'subclinical meningoventriculitis' causing obstructive hydrocephalus and its challenging management. A healthy 10-week-old immunocompetent male patient presented with failure to thrive and vomiting, secondary to presumed gastro-oesophageal reflux. The child was neurologically alert, afebrile with normal inflammatory markers. Progressive macrocephaly prompted an MRI confirming triventricular hydrocephalus secondary to aqueductal stenosis...
October 11, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28987185/cerebrospinal-fluid-circulation-and-hydrocephalus
#6
Ville Leinonen, Ritva Vanninen, Tuomas Rauramaa
Hydrocephalus (HC) is classically defined as dynamic imbalance between the production and absorption of cerebrospinal fluid (CSF) leading to enlarged ventricles. Potential causative factors include various brain disorders like tumors causing obstruction of CSF flow within the ventricular system or the subarachnoid space. Classification of HC is based on the site of CSF flow obstruction guiding optimal treatment, with endoscopic third ventriculostomy in intraventricular obstruction and CSF shunt in communicating HC...
2017: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/28984539/the-importance-of-extent-of-choroid-plexus-cauterization-in-addition-to-endoscopic-third-ventriculostomy-for-infantile-hydrocephalus-a-retrospective-north-american-observational-study-using-propensity-score-adjusted-analysis
#7
Aria Fallah, Alexander G Weil, Kyle Juraschka, George M Ibrahim, Anthony C Wang, Louis Crevier, Chi-Hong Tseng, Abhaya V Kulkarni, John Ragheb, Sanjiv Bhatia
OBJECTIVE Combined endoscopic third ventriculostomy (ETC) and choroid plexus cauterization (CPC)-ETV/CPC- is being investigated to increase the rate of shunt independence in infants with hydrocephalus. The degree of CPC necessary to achieve improved rates of shunt independence is currently unknown. METHODS Using data from a single-center, retrospective, observational cohort study involving patients who underwent ETV/CPC for treatment of infantile hydrocephalus, comparative statistical analyses were performed to detect a difference in need for subsequent CSF diversion procedure in patients undergoing partial CPC (describes unilateral CPC or bilateral CPC that only extended from the foramen of Monro [FM] to the atrium on one side) or subtotal CPC (describes CPC extending from the FM to the posterior temporal horn bilaterally) using a rigid neuroendoscope...
October 6, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28962963/low-pressure-hydrocephalus-a-case-report-and-review-of-the-literature
#8
Adam Strand, Stephen Balise, Lawrence Jun Leung, Susan Durham
BACKGROUND: The entity of low pressure hydrocephalus remains poorly understood and thoroughly debated. Symptomatic improvement accompanied by decrease in ventricular size following prolonged sub-atmospheric drainage has been well documented and this method has been considered the gold standard of management. Few studies have examined alternative treatment options, either to avoid the risks associated with prolonged external ventricular drainage or due to failure of traditional methods...
September 26, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28959487/current-management-of-spontaneous-intracerebral-haemorrhage
#9
REVIEW
Cyrus K Dastur, Wengui Yu
Intracerebral haemorrhage (ICH) is the most devastating and disabling type of stroke. Uncontrolled hypertension (HTN) is the most common cause of spontaneous ICH. Recent advances in neuroimaging, organised stroke care, dedicated Neuro-ICUs, medical and surgical management have improved the management of ICH. Early airway protection, control of malignant HTN, urgent reversal of coagulopathy and surgical intervention may increase the chance of survival for patients with severe ICH. Intensive lowering of systolic blood pressure to <140 mm Hg is proven safe by two recent randomised trials...
March 2017: Stroke and Vascular Neurology
https://www.readbyqxmd.com/read/28945918/comparative-effectiveness-of-surgical-treatments-for-pediatric-hydrocephalus
#10
I-Wen Pan, Dominic A Harris, Thomas G Luerssen, Sandi K Lam
BACKGROUND: Pediatric hydrocephalus represents a high health care burden in the United States (US). Surgery is the mainstay of treatment. OBJECTIVE: To perform a comparative effectiveness analysis for endoscopic third ventriculostomy (ETV) and cerebrospinal fluid shunt placement in pediatric hydrocephalus patients in the US using a large administrative claims database through the application of propensity scores matching. METHODS: The MarketScan® database (Truven Health Analytics, Atlanta, Georgia) 2003 to 2011 was used...
August 19, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28944945/safety-and-efficacy-of-ventriculostomy-procedures-under-dual-antiplatelet-therapy-in-patients-treated-with-stent-assisted-coiling-in-subarachnoid-hemorrhage
#11
Soner Civi, Cagatay Andic, Ozgur Kardes, Halil İbrahim Suner, Emre Durdag, Ozlem Ozmete, Kadir Tufan
AIM: Stent assisted coilling (SAC) is an alternative in the treatment of ruptured aneurysms. Stenting requires the use of dual antiplatelet agents. Hydrocephaly is a complication of subarachnoid hemorrhage (SAH) requiring ventriculostomy. Antiplatelet treatment reveal a risk of hemorrhage in ventriculostomy. Anti-aggregant effect starts at least four hours after the initial doses of treatment. However, in many studies, ventriculostomy was performed before antiplatelet treatment and the hemorrhagic complications were related to the procedure...
July 16, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28938497/accuracy-and-safety-of-ventriculostomy-using-two-different-procedures-of-external-ventricular-drainage-a-single-center-series
#12
Patrick Schuss, Christian Wispel, Valeri Borger, Ági Güresir, Hartmut Vatter, Erdem Güresir
No abstract text is available yet for this article.
September 22, 2017: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/28931258/simulation-based-education-for-endoscopic-third-ventriculostomy-a-comparison-between-virtual-and-physical-training-models
#13
Gerben E Breimer, Faizal A Haji, Vivek Bodani, Melissa S Cunningham, Adriana-Lucia Lopez-Rios, Allan Okrainec, James M Drake
BACKGROUND: The relative educational benefits of virtual reality (VR) and physical simulation models for endoscopic third ventriculostomy (ETV) have not been evaluated "head to head." OBJECTIVE: To compare and identify the relative utility of a physical and VR ETV simulation model for use in neurosurgical training. METHODS: Twenty-three neurosurgical residents and 3 fellows performed an ETV on both a physical and VR simulation model. Trainees rated the models using 5-point Likert scales evaluating the domains of anatomy, instrument handling, procedural content, and the overall fidelity of the simulation...
February 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28931248/validity-evidence-for-the-neuro-endoscopic-ventriculostomy-assessment-tool-nevat
#14
Gerben E Breimer, Faizal A Haji, Giuseppe Cinalli, Eelco W Hoving, James M Drake
BACKGROUND: Growing demand for transparent and standardized methods for evaluating surgical competence prompted the construction of the Neuro-Endoscopic Ventriculostomy Assessment Tool (NEVAT). OBJECTIVE: To provide validity evidence of the NEVAT by reporting on the tool's internal structure and its relationship with surgical expertise during simulation-based training. METHODS: The NEVAT was used to assess performance of trainees and faculty at an international neuroendoscopy workshop...
February 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28927916/results-of-combined-intraventricular-neuroendoscopic-procedures-in-130-cases-with-special-focus-on-fornix-contusions
#15
Joachim Oertel, Stefan Linsler, Caroline Emmerich, Dörthe Keiner, Michael Gaab, Henry Schroeder, Sebastian Senger
OBJECTIVE: The growing experience with intraventricular neuroendoscopic procedures showed good results in the combination of ETV and tumor biopsy. Other possible combinations are mainly presented in subgroups in the literature. Here, the authors present their experience with combined intraventricular procedures within one setting over the last two decades. METHODS: This study analyses retrospectively data from neuroendoscopic intraventricular procedures between 1993 and 2015 in three different departments of Neurosurgery...
September 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28927212/fluorescein-guided-neuroendoscopy-for-intraventricular-lesions-a-case-series
#16
Alessandro Fiorindi, Alessandro Boaro, Giulia Del Moro, Pierluigi Longatti
BACKGROUND: The benefits of neuroendoscopy in the pathological diagnosis of intra- and paraventricular tumors have already been shown in many neurosurgical studies. However, most authors agree that neuroendoscopic biopsies are not infrequently inconclusive due to small or inadequate samples, prompting the need for new diagnostic strategies. OBJECTIVE: To describe a technique not previously reported in the literature, combining neuroendoscopy with angiofluorescein guidance for the pathological diagnosis of intra- and paraventricular tumors...
April 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28905331/antibiotic-distribution-into-cerebrospinal-fluid-can-dosing-safely-account-for-drug-and-disease-factors-in-the-treatment-of-ventriculostomy-associated-infections
#17
Nilesh Kumta, Jason A Roberts, Jeffrey Lipman, Menino Osbert Cotta
Ventriculostomy-associated infections, or ventriculitis, in critically ill patients are associated with considerable morbidity. Efficacious antibiotic dosing for the treatment of these infections may be complicated by altered antibiotic concentrations in the cerebrospinal fluid due to variable meningeal inflammation and antibiotic properties. Therefore, doses used to treat infections with a higher degree of meningeal inflammation (such as meningitis) may often fail to achieve equivalent exposures in patients with ventriculostomy-associated infections such as ventriculitis...
September 13, 2017: Clinical Pharmacokinetics
https://www.readbyqxmd.com/read/28895474/temporal-profile-of-microtubule-associated-protein-map-2-a-novel-indicator-of-diffuse-brain-injury-severity-and-early-mortality-after-brain-trauma
#18
Linda Papa, Steven A Robicsek, Gretchen M Brophy, Kevin K W Wang, H Julia Hannay, Shelley C Heaton, Ilona Schmalfuss, Andrea Gabrielli, Ronald L Hayes, Claudia S Robertson
This study compared CSF levels of MAP-2 from adult patients with severe TBI to uninjured controls over ten days, and examined the relationship between MAP-2 concentrations and acute clinical and radiologic measures of injury severity along with mortality at 2-weeks and over 6-months. This prospective study, conducted at two Level 1 Trauma Centers, enrolled adults with severe TBI (GCS ≤8) requiring a ventriculostomy as well as controls. Ventricular CSF was sampled from each patient at 6, 12, 24, 48, 72, 96, 120, 144, 168, 192, 216 and 240 hours following TBI and analyzed via ELISA for MAP-2 (ng/ml)...
September 12, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28885463/author-response-implementation-of-an-early-mobility-pathway-in-neurointensive-care-unit-patients-with-ventriculostomies
#19
Megan T Moyer
No abstract text is available yet for this article.
October 2017: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/28884229/time-to-event-analysis-of-surgically-treated-posthemorrhagic-hydrocephalus-in-preterm-infants-a-single-institution-retrospective-study
#20
Rowland H Han, Daniel Berger, Mohamed Gabir, Brandon S Baksh, Diego M Morales, Amit M Mathur, Christopher D Smyser, Jennifer M Strahle, David D Limbrick
PURPOSE: The purpose of this study is to report time points relevant to the neurosurgical management of posthemorrhagic hydrocephalus (PHH). METHODS: Data were collected retrospectively on 104 preterm infants with intraventricular hemorrhage (IVH) who received neurosurgical intervention for PHH at St. Louis Children's Hospital from 1994 to 2016. Kaplan-Meier curves were constructed for various endpoints. RESULTS: IVH grade on head ultrasound obtained through routine clinical care was II, III, and IV in 5 (4...
November 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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