Intraventricular neuro-endoscopic surgery in adult patients with obstructive hydrocephalus. Short series of cases

Authors

Keywords:

obstructive hydrocephalus, intraventricular neuroendoscopy

Abstract

Introduction: hydrocephalus is a neurosurgical pathology that presents several treatment alternatives. Despite this, the rate of dysfunctions and re-interventions of the patients is considered high.

Objective: to describe the results of intraventricular neuro-endoscopic surgery in patients operated on for obstructive hydrocephalus.

Materials and methods: this is an observational, descriptive, cross-sectional study, of case series, where clinical, imaging and surgical variables of patients operated by intraventricular neurosurgery are described. After applying inclusion and exclusion criteria, the sample was made up of five patients.

Results: the Glasgow coma scale of the patients at the moment of surgery was greater than 12 points in all cases. 60% of the cases presented a grade 4 on Frisen scale to assess the severity of papilledema. The average Evans index, measured by tomography was 0.39; that of the third ventricle was 14.75 mm, while the average of the temporal horns was 4.1 mm. In three cases there were dilated anatomical variants of the foramens of Monro f, while in two they presented medium diameters. The average surgical time was 45 minutes. Surgical stoma dysfunction in one patient with a third ventriculostomy was among the postoperative complications.

Conclusions: intraventricular neuro-endoscopic surgery is an effective method for treating patients with obstructive hydrocephalus in selected patients.

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Author Biography

Mario Javier Garces-Ginarte, Universidad de Ciencias Médicas de Matanzas. Matanzas

Secretario de Docencia e Investigaciones

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Published

2023-06-16

How to Cite

1.
Sierra-Benítez EM, Laud-Rodríguez L, Carrillo-Comas AL, Garces-Ginarte MJ. Intraventricular neuro-endoscopic surgery in adult patients with obstructive hydrocephalus. Short series of cases. Rev Méd Electrón [Internet]. 2023 Jun. 16 [cited 2025 Jan. 9];45(3):e5072. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/5072

Issue

Vol. 45 No. 3 (2023)

Section

Short communication

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