Electromagnetic navigation-guided neuroendoscopic transfrontal transaqueductal fenestration of expansive posterior fossa arachnoid cyst with simultaneous endoscopic third ventriculostomy in an infant

Electromagnetic navigation-guided neuroendoscopic transfrontal transaqueductal fenestration of... Introduction We present an infant with an expansive posterior fossa arachnoid cyst and severe clinical deterioration due to decompensated obstructive hydrocephalus. Given the dilated Sylvius aqueduct, we favoured the endoscopic transfrontal transaqueductal route to approach the cyst. Case report A 12-month-old boy was acutely admitted for severe symptoms of intracranial hypertension. Imaging revealed spacious cystic formation in the posterior fossa with expansive behaviour towards the brain stem, fourth ventricle and cerebellum associated with obstructive triventricular hydrocephalus. The patient underwent electromagnetically navigated transfrontal transaqueductal cyst fenestration with simultaneous ETV from two precoronal trajectories with a rigid endoscope. Conclusion A transaqueductal approach with a rigid endoscope is rarely published, and we were amazed by the impact on the child’s clinical improvement after this minimally invasive endoscopic procedure. The case is well documented with imaging and perioperative neuroendoscopic views. . . . . Keywords Posterior fossa cyst Transaqueductal fenestration Neuroendoscopy Electromagnetic neuronavigation Endoscopic third ventriculostomy Introduction Case illustration We present an infant with an expansive posterior fossa arach- A 12-month-old boy presented with severe intracranial hyper- noid cyst and severe clinical deterioration due to decompen- tension (ICH) signs, including headache, vomitus, somno- sated obstructive hydrocephalus who was successfully treated lence, hypotonia, macrocephaly http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Child's Nervous System Springer Journals

Electromagnetic navigation-guided neuroendoscopic transfrontal transaqueductal fenestration of expansive posterior fossa arachnoid cyst with simultaneous endoscopic third ventriculostomy in an infant

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Neurosurgery; Neurosciences
ISSN
0256-7040
eISSN
1433-0350
D.O.I.
10.1007/s00381-018-3847-1
Publisher site
See Article on Publisher Site

Abstract

Introduction We present an infant with an expansive posterior fossa arachnoid cyst and severe clinical deterioration due to decompensated obstructive hydrocephalus. Given the dilated Sylvius aqueduct, we favoured the endoscopic transfrontal transaqueductal route to approach the cyst. Case report A 12-month-old boy was acutely admitted for severe symptoms of intracranial hypertension. Imaging revealed spacious cystic formation in the posterior fossa with expansive behaviour towards the brain stem, fourth ventricle and cerebellum associated with obstructive triventricular hydrocephalus. The patient underwent electromagnetically navigated transfrontal transaqueductal cyst fenestration with simultaneous ETV from two precoronal trajectories with a rigid endoscope. Conclusion A transaqueductal approach with a rigid endoscope is rarely published, and we were amazed by the impact on the child’s clinical improvement after this minimally invasive endoscopic procedure. The case is well documented with imaging and perioperative neuroendoscopic views. . . . . Keywords Posterior fossa cyst Transaqueductal fenestration Neuroendoscopy Electromagnetic neuronavigation Endoscopic third ventriculostomy Introduction Case illustration We present an infant with an expansive posterior fossa arach- A 12-month-old boy presented with severe intracranial hyper- noid cyst and severe clinical deterioration due to decompen- tension (ICH) signs, including headache, vomitus, somno- sated obstructive hydrocephalus who was successfully treated lence, hypotonia, macrocephaly

Journal

Child's Nervous SystemSpringer Journals

Published: May 30, 2018

References

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