دورية أكاديمية
Endoscopic transaqueductal stent placement for tumor-related aqueductal compression in pediatric patients: surgical consideration, technique, and results
| العنوان: | Endoscopic transaqueductal stent placement for tumor-related aqueductal compression in pediatric patients: surgical consideration, technique, and results |
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| المؤلفون: | Prajsnar-Borak, Anna, Schroeder, Henry W. S., Oertel, Joachim |
| بيانات النشر: | Saarländische Universitäts- und Landesbibliothek |
| سنة النشر: | 2023 |
| المجموعة: | SciDok - Der Wissenschaftsserver der UdS (Universität des Saarlandes) |
| مصطلحات موضوعية: | ddc:610, Pediatric, Aqueductal stenosis, Intraventricular tumor, Neuroendoscopy |
| الوصف: | Purpose Endoscopic transaqueductal stenting has become a well-accepted treatment option for a selected small subset of aqueductal stenosis-related obstructive hydrocephalus. However, transaqueductal stenting poses unique challenges and risks which requires critical consideration. This report discusses the clinical experiences with transaqueductal stenting for periaqueductal tumor-related aqueductal stenosis focusing on pediatric patients. Methods A retrospective analysis of all patients undergoing endoscopic TAS from 01/1993 to 01/2022 in the author’s departments was performed. Demographic, clinical, radiological, and intraoperative endoscopic data were evaluated. All patients with AS-related occlusive hydrocephalus that was treated with TAS were analyzed and prospectively followed. Special attention has been given to providing insights into indications, surgical technique, and limitations. Results Out of 28 endoscopic transaqueductal endoscopis stenting procedures, five procedures were performed on periaqueductal tumor-related obstructive hydrocephalus, two children and three adult patients. CSF pathway was obstructed by tumor located in the aqueduct in 2, by tumor in the thalamus/mesencephalon in 1, by a tumor within the third ventricle in 1, and by a tumor of the lamina tecti in 1. Simultaneously with transaqueductal stenting, 2 endoscopic third ventriculostomies (ETV), 3 tumor biopsies, and 1 tumor resection were performed. Postoperative complications included the following: CSF fistula (1 case), and asymptomatic fornix contusion (1 case). A working aqueductal stent was achieved in all cases based on clinical follow-up evaluation. Postoperatively, all patients showed improvement or resolution of their symptoms. The mean follow-up period was 25.2 months (range, 1–108 months). One patient died due to tumor progression during early followup. No stent migration was seen. Conclusion Endoscopic third ventriculostomy remains the gold standard for treatment of CSF circulation obstructions with lesions in the ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1433-0350 0256-7040 |
| العلاقة: | http://nbn-resolving.org/urn:nbn:de:bsz:291--ds-417658Test; hdl:20.500.11880/37376; http://dx.doi.org/10.22028/D291-41765Test |
| DOI: | 10.22028/D291-41765 |
| DOI: | 10.1007/s00381-023-06171-0 |
| الإتاحة: | https://doi.org/10.22028/D291-41765Test https://doi.org/10.1007/s00381-023-06171-0Test http://nbn-resolving.org/urn:nbn:de:bsz:291--ds-417658Test |
| حقوق: | openAccess ; CC BY 4.0 Deed Attribution 4.0 International ; https://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: | edsbas.E9E62FA8 |
| قاعدة البيانات: | BASE |
| تدمد: | 14330350 02567040 |
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| DOI: | 10.22028/D291-41765 |