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Child's Nervous System

Published in:

01-11-2004 | Original Paper

Endoscopic aqueductoplasty in the treatment of aqueductal stenosis

Authors: Henry W. S. Schroeder, Joachim Oertel, Michael R. Gaab

Published in: Child's Nervous System | Issue 11-12/2004

Abstract

Objective

Endoscopic aqueductoplasty is an option in the treatment of obstructive hydrocephalus caused by aqueductal stenoses. We report on our experience with this endoscopic technique, focussing on indications, operative technique, and results.

Methods

A series of 39 endoscopic aqueductoplasties was performed in 33 patients harbouring a hydrocephalus caused by aqueductal stenosis. In 13 patients, a third ventriculostomy was simultaneously performed. There was no endoscopy-related mortality. One aqueductoplasty had to be abandoned. In 7 patients, reclosure of the restored aqueduct required an endoscopic revision. In 25 patients (76%), the hydrocephalus-related symptoms resolved or improved. The condition was unchanged in 8 patients. Four patients needed to be shunted. The ventricles decreased in size in 22 patients (67%), were larger in 2, and unchanged in the remaining 9 patients.

Conclusion

Endoscopic aqueductoplasty is a treatment option in patients with hydrocephalus caused by membranous aqueductal stenosis. Unfortunately, the reclosure rate is higher than initially expected. More experience and longer follow-up are necessary to determine the value of endoscopic aqueductoplasty in the treatment of hydrocephalus caused by aqueductal stenosis.

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Title: Endoscopic aqueductoplasty in the treatment of aqueductal stenosis
Authors: Henry W. S. Schroeder
Joachim Oertel
Michael R. Gaab
Publication date: 01-11-2004
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 11-12/2004
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-004-0937-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Endoscopic aqueductoplasty in the treatment of aqueductal stenosis

Abstract

Objective

Methods

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Conclusion

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