Ishizaki Ryuji, Tashiro Yuzuru
Department of Neurosurgery, Shizuoka Children's Hospital, 860 Urushiyama, Aoiku, Shizuoka, 420-8660, Japan.
Childs Nerv Syst. 2018 Jan;34(1):169-171. doi: 10.1007/s00381-017-3585-9. Epub 2017 Sep 4.
Endoscopic surgery assisted by a navigation system has greatly aided treatment of infected multilocular hydrocephalus, especially in children.
We describe a 2-year-old boy with multilocular hydrocephalus caused by repeated shunt infection, presenting with fever and vomiting. Magnetic resonance images (MRI) showed extraventricular cysts and severe ventricular deformity. There were three ventriculoperitoneal shunts and one residual ventricular catheter. With a flexible endoscope, we fenestrated the wall of extraventricular cysts and removed the residual catheter. We then used a rigid endoscope to fenestrate ventricular components. Both procedures were guided by electromagnetic (EM) navigation, and hydrocephalus was controlled with one ventricular catheter.
We have successfully treated a case suffered from infected multilocular hydrocephalus in infants using rigid and flexible endoscopes combined with EM navigation.
导航系统辅助的内镜手术极大地促进了感染性多房性脑积水的治疗，尤其是在儿童中。
我们描述了一名2岁男孩，因反复分流感染导致多房性脑积水，表现为发热和呕吐。磁共振成像（MRI）显示脑室外囊肿和严重的脑室畸形。有三根脑室腹腔分流管和一根残留的脑室导管。我们使用软性内镜，在脑室外囊肿壁上开窗并取出残留导管。然后使用硬性内镜对脑室部分进行开窗。这两个操作均由电磁（EM）导航引导，通过一根脑室导管控制脑积水。
我们成功地使用硬性和软性内镜结合EM导航治疗了一例婴儿感染性多房性脑积水病例。
