Endoscopic surgery for specific hydrocephalus

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  • 特殊な水頭症に対する内視鏡手術

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Abstract

<p>Objective: Endoscopic surgery is useful for the treatment of hydrocephalus, and it is more important in the treatment of specific cases such as multilocular hydrocephalus and postencephalocele hydrocephalus. We examined the effectiveness of endoscopic surgery in patients with specific hydrocephalus at our hospital.</p><p>Material and Methods: We performed a retrospective review of eight cases with specific hydrocephalus treated by neuroendoscopy in Shizuoka Children’s Hospital between July 2007 and December 2018. We divided the patients into two groups: one comprising patients with multilocular hydrocephalus and the other comprising patients with postencephalocele hydrocephalus. Each group was further divided into two subgroups: group A (before the introduction of navigation and rigid endoscope) and group B (after the introduction of navigation and rigid endoscope). Subsequently, we examined whether navigation was used, the type of neuroendoscope used, and the result of the treatment.</p><p>Results: Navigation was used in all the patients in group B. Both rigid and flexible endoscopes were used in group B of the multilocular hydrocephalus group. Only a flexible endoscope was used in the remaining patients. In the multilocular hydrocephalus group, group A required two ventricular catheters for ventriculoperitoneal shunting, whereas group B required only one. In the postencephalocele hydrocephalus group, a ventriculoperitoneal shunt was required in group A but not in group B.</p><p>Conclusions: Endoscopic surgery plays a crucial role in managing specific hydrocephalus, and early intervention is necessary.</p>

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