Longatti Pierluigi, Basaldella Luca, Feletti Alberto, Fiorindi Alessandro, Billeci Domenico
Department of Neurosurgery, Treviso Regional Hospital, University of Padova, Italy.
Neurosurg Focus. 2005 Dec 15;19(6):E12. doi: 10.3171/foc.2005.19.6.13.
Transaqueductal navigation of the fourth ventricle has long been considered dangerous and of no clinical relevance. After the refinement of the endoscopic technique and supported by the extensive experience gained at the authors' institution since 1994, endoscopic exploration of the fourth ventricle has been performed by the same surgeon in 54 patients. In all cases reviewed, endoscopic navigation of the fourth ventricle was successfully performed with no related neurological deficit. This preliminary experience shows the feasibility of transaqueductal navigation of the fourth ventricle, which is made possible by the use of small, flexible endoscopes in expert hands.
长期以来，经导水管对第四脑室进行导航一直被认为是危险的且无临床意义。在内镜技术得到改进并在作者所在机构自1994年以来积累的丰富经验支持下，同一位外科医生对54例患者进行了第四脑室的内镜探查。在所有回顾的病例中，第四脑室的内镜导航均成功完成，且无相关神经功能缺损。这一初步经验表明了经导水管对第四脑室进行导航的可行性，这在专家手中使用小型、可弯曲的内镜得以实现。
