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61. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC) im Rahmen der Neurowoche 2010
Joint Meeting mit der Brasilianischen Gesellschaft für Neurochirurgie am 20. September 2010

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

21. - 25.09.2010, Mannheim

Endoscopic ventricular irrigation and treatment of obstruction as a complimentary option in infantile posthemorrhagic hydrocephalus (Brain Wash)

Meeting Abstract

  • Markus Bittl - Neurochirurgische Klinik, Klinikum Stuttgart, Deutschland
  • Javier Segovia von Riehm - Neurochirurgische Klinik, Klinikum Stuttgart, Deutschland
  • Lars Füllbier - Neurochirurgische Klinik, Klinikum Stuttgart, Deutschland
  • Nikolai J. Hopf - Neurochirurgische Klinik, Klinikum Stuttgart, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 61. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC) im Rahmen der Neurowoche 2010. Mannheim, 21.-25.09.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. DocP1803

DOI: 10.3205/10dgnc274, URN: urn:nbn:de:0183-10dgnc2742

Veröffentlicht: 16. September 2010

© 2010 Bittl et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: To present endoscopic techniques used as a complimentary tool in the treatment of infantile posthemorrhagic hydrocephalus

Methods: Three cases of preterm-low-birth weight infants with intraventricular hemorrhage and ventricular distention are presented. In addition to reservoir placement, the treatment included endoscopic ventricular irrigation and ventriculostomy and/or aqueductoplasty in order to treat hydrocephalus and, if possible, avoid the placement of a shunt.

Results: In one patient hydrocephalus was successfully treated by endoscopic ventricular irrigation and third ventriculostomy. No shunt was necessary in this patient. In the second patient an isolated fourth ventricle could be treated by ventricular irrigation and aqueductal stenting. Third ventriculostomy was only temporarily successful. A single ventriculo-peritoneal shunt was necessary. The third patient needed a ventriculo-peritoneal shunt after ventricular irrigation and third ventriculostomy were only temporarily sufficient to treat hydrocephalus. No procedure related complications were observed.

Conclusions: Endoscopic ventricular irrigation and a variety of endoscopic procedures can expand the armamentarium in the treatment of infantile posthemorrhagic hydrocephalus. It may be possible to avoid shunt placement in some cases.