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首页> 外文期刊>Surgical neurology >Neuroendoscopic stent procedure in obstructive hydrocephalus due to both foramina of monro occluding craniopharyngioma: technical note.
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Neuroendoscopic stent procedure in obstructive hydrocephalus due to both foramina of monro occluding craniopharyngioma: technical note.

机译：神经内镜支架手术治疗阻塞性脑积水由于门罗闭塞性颅咽管瘤的两个孔：技术说明。

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BACKGROUND: The development of various neuroendoscopic surgical instruments has offered more options for endoscopic procedures in the treatment of intraventricular tumors. Not only tumor biopsy or tumor resection but also restoration of an obstructed cerebral spinal fluid (CSF) pathway can be performed using the same approach. METHOD: A 76-year-old woman with a cardiac pacemaker for an underlying heart disease was diagnosed with obstructive hydrocephalus because of a third ventricular tumor 8 years ago. The patient had been treated with ventriculo-peritoneal shunt placement. At admission she presented with a subcutaneous infection of the shunt catheter and an abdominal mass of unknown etiology. Neuroendoscopic stenting between lateral and third ventricle was performed to restore the obstructed CSF pathway, and the infected shunt system was removed in the same setting. RESULT: The postoperative course was uneventful. Contrast ventriculography demonstrated a restored CSF pathway between the lateral and third ventricle. Histologic examination of the intraventricular tumor revealed a craniopharyngioma, and the abdominal mass was diagnosed as a gastrointestinal adenocarcinoma. CONCLUSION: The neuroendoscopic foraminoplasty technique should be considered as an alternative treatment for patients who present with an obstructive hydrocephalus caused by a tumor that occludes both foramina of Monro when shunt placement or endoscopic third ventriculostomy is not feasible.
机译：背景：各种神经内窥镜手术器械的发展为内窥镜治疗脑室内肿瘤提供了更多选择。使用相同的方法，不仅可以进行肿瘤活检或肿瘤切除，还可以恢复阻塞性脑脊髓液（CSF）通路。方法：一名76岁的妇女因心脏起搏器而患上了潜在的心脏病，因为8年前发生了第三次心室肿瘤，被诊断为梗阻性脑积水。该患者已接受脑室-腹膜分流治疗。入院时，她出现了分流导管的皮下感染和病因不明的腹部肿块。在侧脑室和第三脑室之间进行神经内镜支架置入术以恢复阻塞的CSF通路，并在相同的环境中移除受感染的分流系统。结果：术后过程平稳。对比心室造影显示侧脑室和第三脑室之间的CSF通路已恢复。对脑室内肿瘤的组织学检查发现有颅咽管瘤，并且腹部肿块被诊断为胃肠道腺癌。结论：对于不能行分流术或内镜第三脑室造口术闭塞了门罗孔的肿瘤所致阻塞性脑积水的患者，应考虑使用神经内镜成形术。

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