Abstract
Advances in surgical instrumentation and technique have lead to an extensive use of endoscopic third ventriculostomy in the management of pediatric hydrocephalus. The aim of this work was to point out the leading aspects related to this technique. After a review of the history, which is now almost one century last, the analysis of the endoscopic ventricular anatomy is aimed to detail normal findings and possible anatomic variations which might influence the correct conclusion of the procedure. The overview of modern endoscopic instrumentation helps to understand the technical improvements that have contributed to significantly reduce the operative invasiveness. Indications are analysed from a pathogenetic standpoint with the intent to better understand the results reported in the literature. A further part of the paper is dedicated to the neuroradiological and clinical means of outcome evaluation, which are still a matter of debate. Finally a review of transient and permanent surgical complications is performed looking at their occurrence in different hydrocephalus etiologies.
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Abtin K, Thompson BG, Walker ML (1998) Basilar artery perforation as a complication of endoscopic third ventriculostomy. Pediatr Neurosurg 28: 35–41
Alberti O, Riegel T, Hellwig D, Bertalanffy H (2001) Frameless navigation and endoscopy. J Neurosurg 95: 541–543
Aschoff A (2002) III Ventriculostomy. EANS Winter Meeting, Rome, March 19th
Auer LA, Auer DP (1998) Virtual endoscopy for planning and simulation of minimally invasive neurosurgery. Neurosurgery 43: 529–548
Barkovich AJ, Kjos BO, Norman D, Edwards MS (1989) Revised classification of posterior fossa cysts and cyst-like malformations based on the results of multiplanar MR imaging. AJNR 10: 977–988
Barr (1948) Observations on the foramen of Magendie in a series of human brains. Brain 71: 281
Baskin JJ, Manwaring KH, Rekate HL (1998) Ventricular shunt removal: the ultimate treatment of the slit ventricle syndrome. J Neurosurg 88: 478–484
Bech RA, Bogeskov L, Borgesen SE, Juhler M (1999) Indications for shunt insertion or 3rd ventriculostomy in hydrocephalic children, guided by lumbar and intraventricular infusion tests. Child’s Brain 15: 213–218
Beems T, Grotenhuis JA (2002) Is the success rate of endoscopic third ventriculostomy age dependent? An analysis of the results of third ventriculostomy in young children. Child’s Nerv Sist 18: 605–608
Beems T, Grotenhuis JA (2004) Long term complications and definition of failures of neuroendoscopic procedures. Child’s Nerv Syst 20: 868–877
Bellotti A, Rapana A, Iaccarino C, Schonauer (2001) Intracranial pressure monitoring after endoscopic third ventriculostomy: an effective method to manage the ‘adaptation period’. Clin Neurol Neurosurg 103: 223–227
Benabarre A, Ibáñez J, Boget T, Obiols J, Martínez-Aran A, Vieta E (2001) Neuropsychological and psychiatric complications in endoscopic third ventriculostomy: a clinical case report. J Neurol Neurosurg Psychiatry 71: 268–271
Beni-Adani L, Bental Y, Ben-Sira L (2004) Does aqueductal stenosis really exist as an independent diagnosis or does it represent an old fetal hemorrhage misdiagnosed on real time fetal US? Child’s Nerv Syst 20: 663
Boop FA (2004) Post-hemorrhagic hydrocephalus of prematurity. In: Cinalli G, Meixner W, Sainte-Rose C (eds) Pediatric hydrocephalus, Springer-Verlag, Milan, pp 121–132
Böschert J, Hellwig D, Krauss JK (2003) Endoscopic third ventriculostomy for shunt dysfunction in occlusive hydrocephalus: long-term follow up and review. J Neurosurg 98: 1032–1039
Bozzini P (1806) Lichtleiter; eine Erfindung zur Ashauung innerer Theile und Krankheiten nebst der Abbildung. In: Hufeland CW (ed) J der practischen Arzneykunde und Wundarrzneykunst, Berlin, 24: 107–124
Brockmeyer D, Abtin K, Carey L, Walker M (1998) Endoscopic third ventriculostomy: an outcome analysis. Pediatr Neurosurg 28: 236–240
Broggi G, Dones I, Ferroli P, Franzini A, Servello D, Duca S (2000) Image guided neuroendoscopy for third ventriculostomy. Acta Neurochir (Wien) 142: 893–899
Büki A, Doczi T, Veto F, Horvath Z, Gallyas F (1999) Initial clinical experience with a combined pulsed holmiumneodymium-YAG laser in minimally invasive neurosurgery. Minim Invasive Neurosurg 42: 35–40
Burtscher J, Bale R, Dessl A, Eisner W, Twerdy K, Sweeney RA, Felber S (2002) Virtual endoscopy for planning neuro-endoscopic intraventricular surgery. Minim Invasive Neurosurg 45: 24–31
Burtscher J, Bartha L, Twerdy K, Eisner W, Benke T (2003) Effect of endoscopic third ventriculostomy on neuropsychological outcome in late onset idiopathic aqueductal stenosis: a prospective study. J Neurol Neurosurg Psychiatry 74: 222–225
Burtscher J, Dessl A, Maurer H, Seiwald M, Felber S (1999) Virtual neuroendoscopy, a comparative magnetic resonance and anatomical study. Minim Invas Neurosurg 42: 113–117
Buxton N, Jonathan P (2000) Cerebral infarction after neuroendoscopic third ventriculostomy: case report. Neurosurgery 46: 999–1002
Buxton N, Macarthur D, Mallucci C, Punt J, Vloeberghs M (1998a) Neuroendoscopy in the premature population. Child’s Nerv Syst 14: 649–652
Buxton N, Macarthur D, Mallucci C, Punt J, Vloeberghts M (1998b) Neuroendoscopic third ventriculostomy in patients less than 1 year old. Pediatr Neurosurg 29: 73–76
Buxton N, Macarthur D, Robertson I, Punt J (2003) Neuroendoscopic third ventriculostomy for failed shunts. Surg Neurol 60: 193–200
Buxton N, Turner B, Ramli N, Vloeberghs M (2002) Changes in third ventricular size with neuroendoscopic third ventriculostomy: a blinded study. J Neurol Neurosurg Psychiatry 72: 385–387
Chapman PH (1990) Indolent gliomas of the midbrain tectum. Concepts Pediatr Neurosurg 10: 97–107
Choi JU, Kim DS, Kim SH (1999) Endoscopic surgery for obstructive hydrocephalus. Yonsei Med J 40: 600–607
Cinalli G (1999) Alternatives to shunting. Child’s Nerv Syst 15: 718–731
Cinalli G (2004) Endoscopic third ventriculostomy. In: Cinalli G, Maixner WJ, Sainte-Rose C (eds) Pediatric Hydrocephalus, Springer, Milan, pp 361–388
Cinalli G, Sainte-Rose C, Chumas P, Zerah M, Brunelle F, Lot G, Pierre-Khan A, Renier D (1999) Failure of third ventriculostomy in the treatment of aqueductal stenosis in children. J Neurosurg 90: 448–454
Cinalli G, Salazar C, Mallucci C, Yada JZ, Zerah M, Sainte-Rose C (1998) The role of endoscopic third ventriculostomy in the management of shunt malfunction. Neurosurgery 43: 1323–1329
Cinalli G, Spennato P, Cianciulli E, D’Armiento M (2004a) Hydrocephalus and aqueductal stenosis. In: Cinalli G, Meixner W, Sainte-Rose C (eds) Pediatric Hydrocephalus, Springer-Verlag, Milan, pp 279–294
Cinalli G, Spennato P, Del Basso De Caro ML, Buonocore MC (2004b) Hydrocephalus and the Dandy-Walker malformation. In: Cinalli G, Meixner W, Sainte-Rose C (eds) Pediatric Hydrocephalus, Springer-Verlag, Milan, pp 279–294
Ciurea AV, Coman TC, Mircea D (2004) Postinfectious hydrocephalus in children. In: Cinalli G, Meixner W, Sainte-Rose C (eds) Pediatric Hydrocephalus, Springer-Verlag, Milan, pp 201–218
Cohen AR (1993) Endoscopic ventricular surgery. Pediatr Neurosurg 19: 127–134
Coulbois S, Boch A-L, Philippon J (2001) Diabète insipide après ventriculocisternostomie par voie endoscopique. A propos d’un cas et revue de la littérature. Neurochirurgie 47: 435–438
Czosnyka M, Whitehouse M, Smielewski P, Simac S, Pickard JD (1996) Testing of cerebrospinal compensatory reserve in shunted and non-shunted patients: a guide to interpretation based on an observational study. J Neurol Neurosurg Psychiatry 60: 549–558
Dandy WE (1918) Extirpation of the choroid plexuses of the lateral and fourth ventricle in communicating hydrocephalus. Ann Surg 68: 569–579
Dandy WE (1922) An operative procedure for hydrocephalus. Bull Johns Hopkins Hosp 33: 189–190
Daoud AS, Omari H, al-Sheyyab M, Abuekteish F (1998) Indications and benefits of computer tomography in childhood bacterial meningitis. J Trop Pediatr 44: 167–169
Decq P (2004) Endoscopic anatomy of the ventricles. In: Cinalli G, Maixner WJ, Saint-Rose C (eds) Pediatric Hydrocephalus, Springer, Milan, pp 351–359
Decq P, Le Guerinel C, Palfi S, Djindjian M, Kéravel Y, Nguyen J (2000) A new device for endoscopic third ventriculostomy. J Neurosurg 93: 509–512
Di Rocco C, Marchese E, Velardi F (1994) A survey of the first complication of newly implanted CSF shunt devices for the treatment of nontumoral hydrocephalus. Cooperative survey of the 1991–1992 Education Committee of the ISPN. Child’s Nerv Syst 10: 312–327
Di Roio C, Mottolese C, Cayrel V, Berlier P, Artru F (1999) Ventriculostomie du troisième ventricule et diabète insipide. Ann Fr Anesth Reanim 18: 776–778
Doctor BA, Newman N, Minich NM, Taylor HG, Fanaroff AA, Hack M (2001) Clinical outcomes of neonatal meningitis in very-low birth-weight infant. Clin Pediatr 40: 473–480
Drake JM (1993) Ventriculostomy for treatment of hydrocephalus. Neurosurg Clin North Am 4: 657–666
Drake JM, Kestle JRW, Milner R, Cinalli G, Boop F, Piatt J Jr, Hainess S, Schiff SJ, Cochrane DD, Steinbok P, McNeil N (1998) Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus. Neurosurgery 43: 294–303
Drake JM, Kestle JRW, Tuli S (2000) CSF shunts 50 years on — past, present and future. Child’s Nerv Syst 16: 800–804
Duffner F, Shiffbauer H, Glenser D, Skalej M, Freudenstein D (2003) Anatomy of the cerebral ventricular system for endoscopic neurosurgery: a magnetic resonance study. Acta Neurochir 145: 359–368
Elbabaa SK, Steinmetz M, Ross J, Moon D, Luciano M (2001) Endoscopic third ventriculostomy for obstructive hydrocephalus in the pediatric population: evaluation of outcome. Eur J Pediatr Surg 11(suppl. 1): 552–554
El-Dawlatly AA, Murshid WR, El-Khwsky F (1999) Endoscopic third ventriculostomy: a study of intracranial pressure vs heamodynamic changes. Minim Invas Neurosurg 42: 198–200
El-Dawlatly AA, Murshid WR, Elshimy A, Magboul MA, Samarkandi A, Takrouri MS (2000) The incidence of bradycardia during endoscopic third ventriculostomy. Anesth Analg 91: 1142–1144
Enya S, Masuda Y, Terui K (1997) Respiratory arrest after a ventriculoscopic surgery in infants: two case reports. Masui 46: 416–420 [Japanese]
Enzmann DR, Pelec NJ (1991) Normal flow pattern in intracranial and spinal cerebrospinal fluid defined with phase-contrast cine-MR imaging. Radiol 178: 467–474
Fay T, Grant FC (1923) Ventriculoscopy and intraventricular photography in internal hydrocephalus. JAMA 80: 461–463
Feng H, Huang G, Liao X, Fu K, Tab H, Pu H, Cheng Y, Liu W, Zhao D (2004) Endoscopic third ventriculostomy in the management of obstructive hydrocephalus: an outcome analysis. J Neurosurg 100: 626–633
Ferrer E, Santamarta D, Garcia-Fructuoso G, Caral L, Rumia J (1997) Neuroendoscopic management of pineal region tumors. Acta Neurochir 139: 12–21
Fischer RE, Biljana T (2000) Optical system design, McGraw Hill, New York
Foroutan M, Mafee MF, Dujovny M (1998) Third ventriculostomy, phasecontrast cine MRI and endoscopic techniques. Neurol Res 20: 443–448
Frazee JG, Shah AS (1998) Interactive surgery and telepresence. In: King W, Frazee J, De Salles A (eds) Endoscopy of the Central and Peripheral Nervous System, Thieme, New York, 1998, pp 243–251
Fritsch MJ, Mehdorn M (2002) Endoscopic intraventricular surgery for treatment of hydrocephalus and loculated CSF space in children less than one year of age. Pediatr Neurosurg 36: 183–188
Fritsch MJ, Mehdorn HM (2003) Indication and controversies for endoscopic third ventriculostomy in children. Child’s Nerv Syst 19: 706–707
Fritsch MJ, Dorner L, Kienke S, Claviez A, Mehdorn HM (2004) Indication for endoscopic third ventriculostomy in children with posterior fossa tumors. Child’s Nerv Syst 20: 668
Fukuhara T, Luciano MG, Kowalski RJ (2002) Clinical features of third ventriculostomy failures classified by fenestration patency. Surg Neurol 58: 102–110
Fukuhara T, Vorster SJ, Luciano MG (2000) Risk factors for failure of endoscopic third ventriculostomy for obstructive hydrocephalus. Neurosurgery 46: 1100–1111
Fukushima T, Ishijima B, Hirakaw K, Nakamura N, Samo K (1973) Ventriculofiberscope: a new technique for endoscopic diagnosis and operation. J Neurosurg 38: 251–256
Gangemi M, Donati P, Maiuri F, Longatti P, Godano U, Mascari C (1999) Endoscopic third ventriculostomy for hydrocephalus. Minim Invasive Neurosurg 42: 128–132
Garton HJL, Kestle JRW, Cochrane DD, Steinbok P (2002) A cost-effectiveness analysis of endoscopic third ventriculostomy. Neurosurgery 51: 69–78
Genitori L, Peretta P, Mussa F, Giordano F (2004) Endoscopic third ventriculostomy in children: are age and etiology of hydrocephalus predictive factors influencing the outcome in primary and secondary treated patients? A series of 328 patients and 353 procedures. II CURAC Congress, Munich, October 8th
Glasauer FE (1975) Isotope cisternography and ventriculography in congenital anomalies of the central nervous system. J Neurosurg 43: 18–26
Goh KYC, Abbott R (2000) Is endoscopic third ventriculostomy of benefit in tumour related aqueductal stenosis? Child’s Nerv Syst 16: 127–128
Gorayeb RP, Cavalheiro S, Zymberg SY (2004) Endoscopic third ventriculostomy in children younger than 1 year of age. J Neurosurg (Pediatrics 5) 100: 427–429
Goumnerova LC, Frim D (1997) Treatment of hydrocephalus with third ventriculostomy: outcome and CSF flow patterns. Pediatr Neurosurg 27: 149–152
Grant JA (1998) An endoscopic view of the anterior commissure. Pediatr Neurosurg 28: 42
Greitz D (2004) Radiological assessment of hydrocephalus: new theories and implications for therapy. Neurosurg Rev 27: 145–165
Grunert P, Perneczki A, Resch K (1994) Endoscopic procedures through the foramen of Monro under stereotactic conditions. Mim Invasive Neurosurg 37: 2–8
Grunert P, Charalampaki P, Hopf N, Filippi R (2003) The role of third ventriculostomy in the management of obstructive hydrocephalus. Minim Invasive Neurosurg 46: 16–21
Guiot G (1973) Ventriculo-cisternostomy for stenosis of aqueduct of Silvius. Puncture of the floor of the third ventricle with a leucotome under television control. Acta Neurochir 28: 275–289
Hader WJ, Drake J, Cochrane D, Sparrow O, Johnson ES, Kestle J (2002) Death after late failure of third ventriculostomy in children. Report of three cases. J Neurosurg 97: 211–215
Hamada H, Hayashi N, Kurimoto M, Umemura K, Hirashima Y, Nogami K, Endo S (2004) Tension pneumocephalus after neuroendoscopic procedure — case report. Neurol Med Chir (Tokyo) 44: 205–208
Handler MH, Abbott R, Lee M (1994) A near-fatal complication of endoscopic third ventriculostomy: case report. Neurosurgery 35: 525–528
Hayashi N, Hamada H, Hirashima Y, Kurimoto M, Takaku A, Endo S (2000) Clinical features in patients requiring reoperation after failed endoscopic procedures for hydrocephalus. Minim Invasive Neurosurg 43: 181–186
Hecht J (1999) City of light: the story of fiber optics, Oxford University Press, New York
Heilman CB, Cohen AR (1991) Endoscopic ventricular fenestration using “saline torch”. J Neurosurg 74: 224–229
Hellwig D, Haag R, Bartel V, Riegel T, Eggers F, Becker R, Bertalanffy H (1999) Application of new electrosurgical devices and probes in endoscopic neurosurgery. Neurol Res 21: 67–72
Hellwig D, Heinemann A, Riegel T (1998a) Endoscopic third ventriculostomy in treatment of obstructive hydrocephalus caused by primary aqueductal stenosis. In: Hellwig D, Bauer B (eds) Minimally Invasive Techniques for Neurosurgery, Springer, Berlin, pp 65–72
Hellwig D, Riegel T, Bertalanffy H (1998b) Neuroendoscopic techniques in treatment of intracranial lesions. Minim Invasive Ther Allied Technol 7: 123–135
Helseth E, Due-Tonnessen B, Egge A, Eide PK, Meling T, Lundar T, Froslie KF (2002) Behandling av Hydrocephalus med endoskopisk tredjeventrikkelstomi. Tidsskr Nor Loegeforen 122: 994–998
Hill A, Volpe J (1981) Seizures, hypoxic-ischemic brain injury, and intraventricular hemorrhage in the newborn. Ann Neurol 10: 109–121
Hirsch JF, Pierre-Kahn A, Renier D, Sainte-Rose C, Hoppe-Hirsch E (1984) The Dandy-Walker malformation. A review of forty cases. J Neurosurg 61: 512–522
Hirsch JF, Hirsch E, Sainte-Rose C, Renier D, Pierre-Kahn A (1986) Stenosis of the aqueduct of Sylvius. Etiology and treatment. J Neurosurg Sci 30: 29–36
Hoffman HJ, Harwood-Nash D, Gilday DL, Craven MA (1980) Percutaneous third ventriculostomy in the management of non-communicating hydrocephalus. Neurosurgery 7: 313–321
Hopf NJ, Grunert P, Darabi K, Busert C, Bettag (1999a) Frameless neuronavigation applied to endoscopic neurosurgery. Minim Invasive Neurosurg 42: 187–193
Hopf NJ, Grunert P, Fries G, Resch KDM, Perneczky A (1999b) Endoscopic third ventriculostomy: outcome analysis of 100 consecutive procedures. Neurosurgery 44: 795–806
Horowitz M, Ramzipoor K, Mair A, Miller S, Rappard G, Spiro R, Purdy P (2003) Experimental third ventriculostomy performed using endovascular surgical techniques and their adaptation to percutaneous intradural neuronavigation: proof of concept cadaver study. Neurosurgery 53: 387–392
Husain M, Jha D, Vatsal DK, Thaman D, Gupta A, Husain N, Gupta RK (2003) Neuroendoscopy surgery — experience and outcome analysis of 102 consecutive procedure in a busy neurosurgical center of India. Acta Neurochir 145: 369–376
Iantosca MR, Hader WJ, Drake JM (2004) Results of endoscopic third ventriculostomy. Neurosurg Clin N Am 15: 67–75
Jacobson EE, Fletcher DF, Morgan MK, Johnston IH (1999) Computer modelling of the CSF flow dynamics of aqueductal stenosis. Med Biol Eng Comput 37: 59–63
Jaksche H, Loew F: Burr hole third ventriculostomy (1986) An unpopular but effective procedure for treatment of certain forms of occlusive hydrocephalus. Acta Neurochir 79: 48–51
Javadpour M, Mallucci C, Brodbelt A, Golash A, May P (2001) The impact of endoscopic third ventriculostomy on the management of newly diagnosed hydrocephalus in infants. Pediatr Neurosurg 35: 131–135
Javadpour M, May P, Mallucci C (2003) Sudden death secondary to delayed closure of endoscopc third ventriculostomy. Br J Neurosurg 17: 266–269
Jellinger G (1986) Anatomomorphology of nontumoral aqueductal stenosis. J Neurosurg Sci 30: 1–16
Jodicke A, Berthold LD, Scharbrodt W, Schroth I, Reiss I, Neubauer BA, Boker DK (2003) Endoscopic surgical anatomy of the paediatric third ventricle studied using virtual neuroendoscopy based on 3-D ultrasonography. Child’s Nerv Syst 19: 325–331
Jones FRC, Stening WA, Brydon M (1990) Endoscopic third ventriculostomy. Neurosurgery 26: 86–92
Jones RFC, Kwok BCT, Stening WA (1996) Endoscopic III ventriculostomy. How long does it last? Child’s Nerv Syst 12: 364–365
Jones RFC, Kwok BCT, Stening WA, Vonau M (1994) The current status of endoscopic third ventriculostomy in the management of non-communicating hydrocephalus. Minim Invasive Neurosurg 37: 28–36
Kaiser G (1985) Hydrocephalus following toxoplasmosis. Z Kinderkir 40(Suppl. 1): 10–11
Kamikawa S, Inui A, Kobayashi N, Kuwamura K, Kasuga M, Yamadori T, Tamaki N (2001b) Endoscopic treatment of hydrocephalus in children: a controlled study using newly developed Yamadori-type ventriculoscopes. Minim Invasive Neurosurg 44: 25–30
Kamikawa S, Inui A, Kobayashi N, Tamaki N, Yamadori T (2001c) Intraventricular hemorrhage in neonates: endoscopic findings and treatment by the use of our newly developed Yamadori-type 8 ventriculoscope. Min Invas Neurosurg 44: 74–78
Kamikawa S, Inui A, Tamaki N, Kobayashi N, Yamadori T (2001a) Application of flexible neuroendoscope to intracerebroventricular arachnoid cyst in children — Use of videoscope. Minim Invas Neurosurg 44: 186–189
Kehler U, Gliemroth J, Knopp U, Arnold H (1998) How to perforate safely a resistant floor of the third ventricle? Technical note. Minin Invasive Neurosurg 41: 198–199
Kelly PJ (1991) Stereotactic third ventriculostomy in patients with nontumoral adolescent/adult onset aqueductal stenosis and symptomatic hydrocephalus. J Neurosurg 75: 865–873
Kim SK, Wang KC, Cho BK (2000) Surgical outcome of pediatric hydrocephalus treated by endoscopic III ventriculostomy: prognostic factors and interpretation of postoperative neuroimaging. Child’s Nerv Syst 16: 161–169
Koch D, Grunert P, Filippi R, Hopf N (2002) Re-ventriculostomy for treatment of obstructive hydrocephalus in cases of stoma dysfunction. Minim Invasive Neurosurg 45: 158–163
Koch D, Wagner W (2004) Endoscopic third ventriculostomy in infants of less than 1 year of age: which factors influence the outcome? Child’s Nerv Syst 20: 405–411
Kramer U, Kanner AA, Siomin V, Harel S, Constantini S (2001) No evidence of epilepsy following endoscopic third ventriculostomy: a short-term follow up. Pediatr Neurosurg 34: 121–123
Kreusser K, Tarby T, Kovnar E, Taylor DA, Hill A, Volpe JJ (1985) Serial lumbar punctures for at least temporary amelioration of neonatal posthe-morrhagic hydrocephalus. Pediatrics 75: 719–724
Kulkarni AV, Drake JM, Armstrong DC, Dirks PB (2000) Imaging correlates of successful endoscopic third ventriculostomy. J Neurosurg 92: 915–919
Kumar R, Behari S, Wahi J, Banerji D, Sharma K (1999) Peduncular hallucinosis: an unusual sequel to surgical intervention in the suprasellar region. Br J Neurosurg 13: 500–503
Kunz U, Goldman A, Bader C, Waldbaur H, Oldenkott P (1994) Endoscopic fenestration of the 3rd ventricular floor in aqueductal stenosis. Minim Invasive Neurosurg 37: 42–47
Laikin M (2001) Method of lens design, Dekker, New York
Lang J (1992) Topographic anatomy of preformed intracranial spaces. Acta Neurochir (Wien) (suppl.) 54: 1–10
Lapras C, Bret P, Patet JD, Huppert J (1986) Hydrocephalus and aqueductal stenosis. Direct surgical treatment by interventriculostomy (aqueduct cannulation). J Neurosurg Sci 30: 47–53
Lespinasse VL (1910) In: Davis L (ed) Neurological Surgery, Lea & Febinger, Philadelphia, 1936, p 405
Lewis AI, Crone KR (1994) Advances in neuroendoscopy. Contemp Neurosurg 16: 1–6
Liu CY, Wang MY, Apuzzo MLJ (2004) The physics of image formation in the neuroendoscope. Childs Nerv Syst 20: 777–782
Longatti P, Martinuzzi A, Fiorindi A, Malobabic S, Carteri A (2003) Endoscopic anatomic features of the triangular recess. Neurosurgery 52: 1491–1494
Macarthur DC, Buxton N, Vloeberghs M, Punt J (2001). The effectiveness of neuroendoscopic interventions in children with brain tumors. Child’s Nerv Syst 17: 589–594
Magnaes B (1982) Cerebrospinal fluid hydrodynamics in adult patients with benign non-communicating hydrocephalus: one-hour test shunting and balanced cerebrospinal fluid infusion test to select patients for intracranial bypass operation. Neurosurgery 11: 769–775
Magnaes B (1989) Hydromechanical testing in non-communicating hydrocephalus to select patients for microsurgical third ventriculostomy. Br J Neurosurg 3: 443–450
Matson DD (1969) Neurosurgery of Infancy and Childhood, 2nd edition, Charles C Thomas, Springfield, Illinois
McLaughlin MR, Wahlig JB, Kaufmann AM, Albright AL (1997) Traumatic basilar aneurysm after endoscopic third ventriculostomy: case report. Neurosurgery 41: 1400–1404
Miller MN (1992) Organisation of the neuroendoscopy suite. In: Manwaring KH, Crone KR (eds) Neuroendoscopy, vol 1, Mary Ann Liebert, New York, pp 9–15
Mixter WJ (1923) Ventriculoscopy and puncture of the floor of the third floor. Preliminary report of a case. Boston Med Surg J 1: 277–278
Mobbs RJ, Vonau M, Davies MA (2003) Death after late failure of endoscopic third ventriculostomy: a potential solution. Neurosurgery 53: 384–386
Mohanty A, Anandt B, Reddy MS, Sastry KVR (1997) Contralateral massive acute subdural collection after endoscopic third ventriculostomy — a case report. Minim Invasive Neurosurg 37: 28–36
Mohanty A, Vasudev MK, Sampath S, Radhesh S, Sastry, Kolluri VR (2002) Failed endoscopic third ventriculostomy in children: management options. Pediatr Neurosurg 37: 304–309
Mohanty A (2003) Endoscopic third ventriculostomy with cystoventricular stent placement in the management of Dandy-Walker malformation: technical case report of three patients. Neurosurgery 53: 1223–1229
Mori H, Nishiyama K, Tanaka R (2003) Endoscopic third ventriculostomy in shunt malfunction and slit-ventricle syndrome. Child’s Nerv Syst 19: 690
Murshid WR (2000) Endoscopic third ventriculostomy: towards more indications for the treatment of non-communicating hydrocephalus. Minim Invas Neurosurg 43: 75–82
Nishiyama K, Mori H, Tanaka R (2003) Changes in cerebrospinal fluid hydrodynamics following endoscopic third ventriculostomy for shunt-dependent noncommunicating hydrocephalus. J Neurosurg 98: 1027–1031
Nitze M (1879) Eine neue Beobachtungs und Untersuchungs Methode für Harnröhre, Harnblse und Rectum. Wien Med Wochenschr 24: 649–652
Nobles A (1998) The physics of neuroendoscopic systems and the instrumentation. In: Jimenez DF (ed) Intracranial Endoscopic Neurosurgery, Park Ridge, IL: American Association of Neurological Surgeons, pp 1–12
Nugent GR, Al-Mefty O, Chou S (1979) Communicating hydrocephalus as a cause of aqueductal stenosis. J Neurosurg 51: 812–818
Oi S, Shibata M, Tominaga J, Honda Y, Shinoda M, Takei F, Tsugane R, Matsuzawa K, Sato O (2000) Efficacy of neuroendoscopic procedures in minimally invasive preferential management of pineal region tumors: a prospective study. J Neurosurg 93: 245–253
Oi S, Hamada H, Nonaka Y, Kusaka Y, Samii A, Samii M (2004) Proposal of a “evolution theory in CSF dynamics”: a significant factor affecting the failure of neuroendoscopic ventriculostomy in treatment of hydrocephalus. Child’s Nerv Syst 20: 662
Oka K, Go Y, Kin Y, Tomonaga M (1993a) An observation of the third ventricle under flexible fiberoptic ventriculoscope: normal structure. Surg Neurol 40: 273–277
Oka K, Go Y, Kin Y, Utsunomiya H, Tomonaga M (1995) The radiographic restoration of the ventricular system after third ventriculostomy. Minim Invasive Neurosurg 38: 158–162
Oka K, Tomonaga M (1992) Instruments for flexible endoneurosurgery. In: Manwaring KH, Crone KR (eds) Neuroendoscopy, vol 1, Mary Ann Liebert, New York, pp 17–28
Oka K, Yamamoto M, Ikeda K, Tomonaga M (1993b) Flexible endoneurosurgical therapy for aqueductal stenosis. Neurosurgery 33: 236–243
Paladino J, Rotim K, Stimac D, Pirker N, Stimac A (2000) Endoscopic third ventriculostomy with ultrasonic contact microprobe. Minim Invasive Neurosurg 43: 132–134
Pavez Salinas A (2004) Description of endoscopic ventricular anatomy in meningomyelocele. Child’s Nerv Syst (in press)
Perlman JM, Argyl C (1992) Lethal cytomegalovirus infection in preterm infants: clinical, radiological, and neuropathological findings. Ann Neurol 31: 64–68
Pettorossi VE, Di Rocco C, Mancinelli R, Caldarelli M, Velardi F (1978) Communicating hydrocephalus induced by mechanically increased amplitude of the intraventricular cerebrospinal fluid pulse pressure: rationale and method. Exp Neurol 59: 30–39
Pollack JK, Pang D, Albright AL (1994) The long term outcome in children with late-onset aqueductal stenosis resulting from benign intrinsic tectal tumors. J Neurosurg 80: 681–688
Pople IK, Athanasiou TC, Sandeman DR, Coakham HB (2001) The role of endoscopic biopsy and third ventriculostomy in the management of pineal region tumours. Br J Neurosurg 15: 305–311
Portillo S, Zuccaro G, Fernandez-Molina A, Houssay A, Sosa F, Konsol O, Jaimovich R, Olivella E, Ledesma J, Guevara M, Ajler G, Picco P (2004) Endoscopic third ventriculostomy in the treatment of pediatric hydrocephalus. A multicentric study. Child’s Nerv Syst 20: 666–667
Putnan TJ (1943) The surgical treatment of infantile hydrocephalus. Surg Gynecol Obst 76: 171–182
Quencher RM, Donovan Post MJ, Hinks RS (1990) Cine MR in the evaluation of normal and abnormal CSF flow: intracranial and intraspinal studies. Neuroradiology 32: 371–391
Raimondi AJ, Clark SJ, McLone DG (1976) Pathogenesis of aqueductal occlusion in congenital murine hydrocephalus. J Neurosurg 45: 66–77
Rappaport ZH, Shalit MN (1989) Perioperative external ventricular drainage in obstructive hydrocephalus secondary to infratentorial brain tumours. Acta Neurochir 96: 118–121
Resch KDM (2003) Endo-neuro-sonography: first clinical series (52 cases). Childs Nerv Syst 19: 137–144
Resch KDM, Perneczky A (1998) Endo-neuro-sonography: basics and current use. In: Hellwig D, Bauer BL (eds) Minimally Invasive Techniques for Neurosurgery, Springer, Berlin Heidelberg New York, pp 21–31
Resch KDM, Reisch R (1997) Endo-neuro-sonography: anatomical aspects of the ventricles. Minim Invasive Neurosurg 1: 2–7
Rhoton AL Jr (2002) The lateral and third ventricles. Neurosurgery 51(suppl. 1): 207–270
Richard HK, Seeley HM, Okane C, Pickard JD (2000) ICP 11, Cambridge, July 22–26th
Riegel T, Alberti O, Hellwig D, Bertalanffy H (2001) Operative management of third ventriculostomy in cases of thickened, non-translucent third ventricular floor: technical note. Minim Invas Neurosurg 44: 65–69
Riegel T, Alberti O, Retsch R, Shiratori V, Hellwig D, Bertalanffy H (2000) Relationships of virtual reality neuroendoscopic simulations to actual imaging. Minim Invasive Neurosurg 43: 176–180
Riegel T, Freudenstein D, Alberti O, Duffner F, Hellwig D, Bartel V, Bertalanffy H (2002) Novel multipurpose bipolar instrument for endoscopic neurosurgery. Neurosurgery 51: 270–274
Rieger A, Rainov NG, Sanchin L, Schoop G, Burkert W (1996) Ultrasoundguided endoscopic fenestration of the third ventricular floor for noncommunicating hydrocephalus. Minim Invasive Neurosurg 39: 17–20
Rieger A, Rainov NG, Brucke M, Marx T, Holz C (2000) Endoscopic third ventriculostomy is the treatment of choice for obstructive hydrocephalus due to pediatric pineal tumors. Minim Invas Neurosurg 43: 83–86
Rohde V, Gilsbach JM (2000) Anomalies and variants of the endoscopic anatomy for third ventriculostomy. Min Invas Neurosurg 43: 111–117
Rohde V, Krombach GA, Struffert T, Gilsbach JM (2001) Virtual MRI endoscopy: detection of anomalies of the ventricular anatomy and its possible role as a presurgical planning tool for endoscopic third ventriculostomy. Acta Neurochir 143: 1085–1091
Roland E, Hill A (1997) Intraventricular hemorrhage and posthemorrhagic hydrocephalus: current and potential future interventions. Clin Perinatol 1: 589–605
Ruggiero C, Cinalli G, Spennato P, Aliberti F, Cianciulli E, Trischitta V, Maggi G (2004) Endoscopic third ventriculostomy in the treatment of hydrocephalus in posterior fossa tumors in children. Child’s Nerv Syst 20: 828–833
Russel DS, Nevin S (1940) Aneurysm of the great vein of Galen causing internal hydrocephalus: report of two cases. J Pathol Bacteriol 51: 447–448
Saint George E, Natarajan K, Sgouros S (2004) Changes in ventricular volume in hydrocephalic children following successful endoscopic third ventriculostomy. Childs Nerv Syst 20: 834–838
Sainte-Rose C (1992) Third ventriculostomy. In: Manwaring KH, Crone K (eds) Neuroendoscopy, Mary Ann Libert, New York, pp 47–62
Sainte-Rose C, Chumas P (1996) Endoscopic third ventriculostomy. Tech Neurosurg 1: 176–184
Sainte-Rose C, Cinalli G, Roux FE, Maixner V, Chumas PD, Mansour M, Carpentier A, Bourgeois M, Zerah M, Pierre-Kahn A, Renier D (2001) Management of hydrocephalus in pediatric patients with posterior fossa tumors: the role of endoscopic third ventriculostomy. J Neurosurg 95: 791–797
Sainte-Rose C (2004) Hydrocephalus in pediatric patients with posterior fossa tumours. In: Cinalli G, Meixner W, Sainte-Rose C (eds) Pediatric Hydrocephalus, Springer-Verlag, Milan, pp 155–162
Scavarda D, Bednarek N, Litre F, Koch C, Lena G, Morville P, Rousseaux P (2003) Acquired aqueductal stenosis in preterm infants: an indication for neuroendoscopic third ventriculostomy. Child’s Nerv Syst 19: 756–759
Schijns OE, Beuls EA (2002) Parinaud’s syndrome as a sign of acute obstructive hydrocephalus: recovery after acute ventriculostomy. Ned Tijdschr Geneeskd 46: 1136–1140
Schmid UD, Seiler RW (1986) Management of obstructive hydrocephalus secondary to posterior fossa tumours by steroids and subcutaneous ventricular catheter reservoir. J Neurosurg 65: 649–653
Schoeman JF, Honey EM, Loock DB (1996) Raised ICP in a child with cryptococal meningitis: CT evidence of a distal CSF block. Child’s Nerv Syst 12: 568–571
Schönauer C, Bellotti A, Tessitore E, Parlato C, Moraci A (2000) Traumatic subependymal hematoma during endoscopic third ventriculostomy in a patient with a third ventricle tumor: case report. Minim Invasive Neurosurg 43: 135–137
Schroeder HWS, Gaab MR (1999) Intracranial neuroendoscopy. Neurosurg Focus 6(4): Article 1
Schroeder HWS, Niendorf W-R, Gaab MR (2002) Complications of endoscopic third ventriculostomy. J Neurosurg 96: 1032–1040
Schroeder HWS, Oertel J, Gaab MR (2004) Incidence of complications in neuroendoscopic surgery. Child’s Nerv Syst 20: 878–883
Schroeder HWS, Wagner W, Tschiltschke W, Gaab MR (2001) Frameless neuronavigation in intracranial endoscopic neurosurgery. J Neurosurg 94: 72–79
Schroeder HWS, Warzok RW, Assaf JA, Gaab MR (1999) Fatal subarachnoid hemorrhage after endoscopic third ventriculostomy. Case report. J Neurosurg 90: 153–155
Schwartz TH, Ho B, Prestigiacomo CJ, Bruce JN, Feldstein NA, Goodman RR (1999) Ventricular volume following third ventriculostomy. J Neurosurg 91: 20–25
Schwartz TH, Yoon SS, Cutruzzola FW, Goodman RR (1996) Third ventriculostomy: post-operative ventricular size and outcome. Minim Invasive Neurosurg 39: 122–129
Sgaramella E, Castelli G, Sotgiu S (2004) Chronic subdural collection after endoscopic third ventriculostomy. Acta Neurochir 146: 529–530
Sgouros S (2004) Hydrocephalus with myelomeningocele. In: Cinalli G, Meixner W, Sainte-Rose C (eds) Pediatric Hydrocephalus, Springer-Verlag, Milan, pp 133–144
Shaw CM, Alvord EC (1995) Hydrocephalus. In: Duckett S (ed) Pediatric Neuropathology, Williams and Wilkins, Baltimore pp 149–211
Shiau JSC, King WA (1998) Neuroendoscopes and instruments. In: Jimenez DF (ed) Intracranial Endoscopic Neurosurgery, Park Ridge, IL: American Association of Neurological Surgeons, pp 13–27
Singh D, Gupta V, Goyal A, Singh H, Sinha S, Singh AK, Kumar S (2003) Endoscopic third ventriculostomy in obstructed hydrocephalus. Neurology India 51: 39–42
Siomin V, Weiner H, Wisoff J, Cinalli G, Pierre-Khan A, Sainte-Rose C, Abbott R, Elran H, Beni-Adani L, Ouaknine G, Constantini S (2001) Repeat endoscopic third ventriculostomy: is it worth trying? Child’s Nerv Syst 17: 551–555
Siomin V, Cinalli G, Grotenhuis A, Golash A, Oi S, Kothbauer K, Weiner H, Roth J, Beni-Adani L, Pierre-Kahn A, Takahashi M, Mallucci C, Abbott R, Wisoff J, Constantini S (2002) Endoscopic third ventriculostomy for patients with cerebrospinal fluid infections and/or hemorrhage. J Neurosurg 97: 519–524
Siomin V, Constantini S (2004) Basic principles and equipment in neuroendoscopy. Neurosurg Clin N Am 15: 19–31
Smyth MD, Tubbs RS, Wellons JC 3rd, Oakes WJ, Blount JP, Grabb PA (2003) Endoscopic third ventriculostomy for hydrocephalus secondary to central nervous system infection or intraventricular hemorrhage in children. Pediatr Neurosurg 39: 258–263
Stahl W, Kaneda Y (1997) Pathogenesis of murine toxoplasmic hydrocephalus. Parasitology 114: 219–229
Stellato TA (1992) History of laparoscopic surgery. Surg Clin North Am 72: 997–1002
Strowitzki M, Kiefer M, Steudel W-I (2002) A new method of ultrasonic guidance of neuroendoscopic procedures. J Neurosurg 96: 628–632
Sutton LM, Adzick NS, Bilaniuk LT, Johnson MP, Crombleholme TM, Flake AW (1999) Improvement in hindbrain herniation demonstrated by serial fetal magnetic resonance imaging following fetal surgery for myelomeningocele. JAMA 282: 1826–1831
Tamburrini G, Caldarelli M, Massimi L, Ramirez-Reyes G, Di Rocco C (2004) Primary and secondary third ventriculostomy in children with hydrocephalus and myelomeningocele. Child’s Nerv Syst 20: 666
Teo C, Jones RFC, Stening WA (1991) Neuroendoscopic third ventriculostomy. In: Matsumoto S (ed) Hydrocephalus: pathogenesis and treatment. Springer, Berlin Heidelberg New York Tokyo, pp 65–78
Teo C, Jones R (1996) Management of hydrocephalus by endoscopic third ventriculostomy in patients with myelomeningocele. Pediatr Neurosurg 25: 57–63
Teo C, Rahman S, Boop FA, Cherny B (1996) Complications of endoscopic neurosurgery. Child’s Nerv Syst 12: 248–253
Teo C (1998) Third ventriculostomy in the treatment of hydrocephalus: Experience with more than 120 cases. In: Hellwig D, Bauer B (eds) Minimally Invasive Techniques for Neurosurgery. Springer, Berlin Heidelberg New York Tokyo, pp 73–76
Teo C (2004) Complications of endoscopic third ventriculostomy. In: Cinalli G, Maixner J, Saint-Rose C (eds) Pediatric Hydrocephalus, Springer, Milan, pp 411–420
Tirakotai W, Bozinov O, Sure U, Riegel T, Bertalanffy H, Hellwig D (2004) The evolution of stereotactic guidance in neuroendoscopy. Child’s Nerv Syst 20: 790–795
Tisell M, Almstrom O, Stephensen H, Tullberg M, Wikkelso C (2000) How effective is endoscopic third ventriculostomy in treating adult hydrocephalus caused by primary aqueductal stenosis? Neurosurgery 46: 104–110
Tuli S, Alshail E, Drake JM (1999) Third ventriculostomy versus cerebrospinal fluid shunt as a first procedure in pediatric hydrocephalus. Pediatr Neurosurg 30: 11–15
Tulipan M, Hernanz-Schulman M, Bruner JP (1998) Reduced hindbrain herniation after intrauterine myelomeningocele repair: a report of four cases. Pediatr Neurosurg 29: 274–278
Vaicys C, Fried A (2000) Transient hyponatriemia complicated by seizures after endoscopic third ventriculostomy. Minim Invasive Neurosurg 43: 190–191
van Aalst J, Beuls EAM, van Nie FA, Vles JSH, Cornips EMJ (2002) Acute distortion of the anatomy of the third ventricle during third ventriculostomy. J Neurosurg 96: 597–599
Vandertop WP, Verdaasdonk RM, Van Swol CFP (1998) Laser assisted neuroendoscopy using a neodymium-yttrium aluminium garnet or diode contact laser with pretreated fiber tips. J Neurosurg 88: 82–92
Vinas FC, Dujovny N, Dujovny M (1996) Microanatomical basis for the third ventriculostomy. Minim Invas Neurosurg 39: 116–121
Vinas FC, Fandino R, Dujovny M, Chavez V (1994) Microsurgical anatomy of the supratentorial arachnoidal trabecular membranes and cisterns. Neurol Res 16: 417–424
Vries J (1978) An endoscopic technique for third ventriculostomy. Surg Neurol 9: 165–168
Wagner W, Koch D (2004) Why does third ventriculostomy fail more often in infants? Child’s Nerv Syst 20: 666
Wellons JC III, Bagley CA, George TM (1999) A simple and safe techniques for endoscopic third ventriculocisternostomy. Pediatr Neurosurg 30: 219–223
Wharen REJ, Anderson RE, Scheithauer B, Sundt TM (1984) The Nd: YAG laser in neurosurgery: Part 1. Laboratory investigations: dose-related biological response of neural tissue. J Neurosurg 60: 531–539
Whitehead WE, Kestle JRW (2001) The treatment of cerebrospinal fluid shunt infections. Pediatr Neurosurg 35: 205–210
Wilcock DJ, Jaspan T, Punt J (1996) CSF flow through third ventriculostomy demonstrated with colour Doppler ultrasonography. Clin Radiol 51: 127–129
Willems PW, Vandertop WP, Verdaasdonk RM, van Swol CF, Jansen GH (2001) Contact laser-assisted neuroendoscopy can be performed safely by using pretreated ‘black’ fibre tips: experimental data. Lasers Surg Med 28: 324–329
Wong TT, Lee LS (1996) A method of enlarging the opening of the third ventricular floor for flexible endoscopic third ventriculostomy. Child’s Nerv Syst 12: 396–398
Yamakawa K (1995) Instrumentation for neuroendoscopy. In: Cohen AR, Haines SJ (eds) Minimally invasive techniques in neurosurgery. Williams & Wilkins, Baltimore, pp 6–13
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Di Rocco, C., Cinalli, G., Massimi, L., Spennato, P., Cianciulli, E., Tamburrini, G. (2006). Endoscopic Third Ventriculostomy in the Treatment of Hydrocephalus in Pediatric Patients. In: Pickard, J.D., et al. Advances and Technical Standards in Neurosurgery. Advances and Technical Standards in Neurosurgery, vol 31. Springer, Vienna. https://doi.org/10.1007/3-211-32234-5_4
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