丹迪-沃克畸形中导水管的术中直接神经内镜观察

Intraoperative direct neuroendoscopic observation of the aqueduct in Dandy-Walker malformation.

作者信息

Kawaguchi T, Jokura H, Kusaka Y, Shirane R, Yoshimoto T

机构信息

Department of Neurosurgery, Tohoku University Graduate School of Medicine, Sendai, Japan.

出版信息

Acta Neurochir (Wien). 2003 Jan;145(1):63-7. doi: 10.1007/s00701-002-1032-4.

DOI:10.1007/s00701-002-1032-4

PMID:12545264

Abstract

A 3-month-old female infant with Dandy-Walker malformation manifesting as hydrocephalus was treated successfully by only ventriculoperitoneal shunting. A flexible neuroendoscope was used intraoperatively to confirm the patency of the aqueduct, i.e. communication of the ventricular system and the cyst in the posterior fossa. Direct confirmation of the patency of the aqueduct and cyst communication is valuable to select the shunt procedure in the treatment of Dandy-Walker malformation.

摘要

一名3个月大的患有丹迪-沃克畸形并表现为脑积水的女婴仅通过脑室腹腔分流术就成功得到治疗。术中使用了可弯曲神经内镜来确认导水管通畅，即脑室系统与后颅窝囊肿之间的连通情况。直接确认导水管通畅以及囊肿连通情况对于选择丹迪-沃克畸形治疗中的分流手术很有价值。