MAGNETIC-RESONANCE-IMAGING DIRECTED STEREOTAXIC ENDOSCOPIC 3RD VENTRICULOSTOMY

被引：48

作者：

GOODMAN, RR ^{[1
]}

ROBERTS, DW ^{[1
]}

KELLY, PJ ^{[1
]}

机构：

[1] UNIV MED & DENT NEW JERSEY,DIV NEUROSURG,NEW BRUNSWICK,NJ

来源：

NEUROSURGERY | 1993年 / 32卷 / 06期

关键词：

AQUEDUCTAL STENOSIS; HYDROCEPHALUS; MAGNETIC RESONANCE IMAGING; STEREOTAXIC TECHNIQUE; VENTRICULOSTOMY;

D O I：

10.1227/00006123-199306000-00031

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

THIRD VENTRICULOSTOMY HAS been proposed as the procedure of choice for many patients with acquired obstructive hydrocephalus. Various techniques have been used to perform this procedure. This report describes the use of magnetic resonance images to guide the performance of a stereotactic third ventriculostomy with a rigid endoscope, allowing continuous direct visualization. This procedure has been performed on three patients, yielding clinical improvement without the need for extracranial shunting. Magnetic resonance imaging allows accurate identification of the important anatomical landmarks (i.e., foramen of Monro and interpeduncular cistern), with axial, coronal, and sagittal images, and is readily used in conjunction with the Cosman-Roberts-Wells stereotactic apparatus.

引用

页码：1043 / 1047

页数：5

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