The benefits of navigated neuroendoscopy in children with multiloculated hydrocephalus

Multiloculated hydrocephalus remains one of the most challenging neurosurgical problems. In this study, we use frameless navigation during endoscopic interventions to improve the efficiency of operations. Nine navigated endoscopic procedures were performed in 8 children with various forms of multilo...

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Bibliographic Details
Published in:	Asian journal of neurosurgery Vol. 12; no. 3; pp. 483 - 488
Main Authors:	Kim, Sergei Afanasievich, Letyagin, German Vladimirovich, Danilin, Vasiliy Evgenievich, Sysoeva, Anna Alekseevna, Rzaev, Jamil Afetovich, Moisak, Galina Ivanovna
Format:	Journal Article
Language:	English
Published:	India Medknow Publications and Media Pvt. Ltd 01-07-2017 Medknow Publications & Media Pvt Ltd
Subjects:	Care and treatment Children Health aspects Hydrocephalus Neuroendoscopy Original Frameless navigation neuroendoscopy in children multiloculated hydrocephalus
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Summary:	Multiloculated hydrocephalus remains one of the most challenging neurosurgical problems. In this study, we use frameless navigation during endoscopic interventions to improve the efficiency of operations. Nine navigated endoscopic procedures were performed in 8 children with various forms of multiloculated hydrocephalus from March 2013 to June 2014. Preoperatively, the optimal entry point for fenestration of several cysts was determined on the basis of magnetic resonance data. During surgery, rigid endoscope was registered in neuronavigation system for making the connection between separated ventricles and cysts. The final stage of the operation was to conduct a stent through the working channel of the endoscope for implantation of a shunt. Number of compartments interconnected by an operation ranged from 3 to 5. Seven interventions were performed simultaneously with the shunt implantation. The follow-up period ranged from 9 to 15 months. The clinical improvement as a result of the operation was achieved in all children. The follow-up included clinical examination and evaluation of magnetic resonance imaging. Additional surgery was necessary in two patients: The first 5 months later, the second 1-year after endoscopic intervention. Application of frameless navigated neuroendoscopy makes this kind of operations the most efficient and safe for the patient.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1793-5482 2248-9614
DOI:	10.4103/1793-5482.165799