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Endoscopic Aqueductoplasty and Stenting

Authors
Journal
World Neurosurgery
1878-8750
Publisher
Elsevier
Volume
79
Issue
2
Identifiers
DOI: 10.1016/j.wneu.2012.02.013
Keywords
  • Endoscopic Aqueductoplasty
  • Isolated Fourth Ventricle
  • Stenting
Disciplines
  • Medicine

Abstract

Objective This paper discusses indications for and the technique of endoscopic aqueductoplasty with stenting. Methods We review and summarize the clinical experience with endoscopic aqueductoplasty gained over the last 15 years on pediatric and adult patients. Results Endoscopic aqueductoplasty with stenting presents a safe procedure. In well selected patients, it provides a long-term, stable clinical course. Aqueductoplasty alone has a high reclosure rate and should be avoided. Conclusions Aqueductoplasty with stenting is the procedure of choice for the treatment of isolated fourth ventricle. Membranous and tumor-related aqueductal stenosis should be treated by endoscopic third ventriculostomy.

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