Elsharkawy Ahmed Abdelaziz, Elatrozy Hytham
Department of Neurosurgery, Tanta University, Tanta, Gharbia, Egypt.
Surg Neurol Int. 2020 Nov 18;11:393. doi: 10.25259/SNI_610_2020. eCollection 2020.
Trapped fourth ventricle (TFV) usually develops as a complication of supratentorial ventricular CSF shunting, especially when hydrocephalus is caused by intraventricular hemorrhage and/or infection. This study aimed to assess the feasibility of endoscopic aqueduct stenting using a single refashioned shunt tube to treat cases presenting with both TFV and shunt malfunction.
We retrospectively collected and analyzed data from patients presenting with TFV and supratentorial shunt malfunction who underwent endoscopic aqueduct stenting using a refashioned shunt tube. All cases were treated at our institution between January 2010 and July 2019. The surgical technique is described.
Eighteen patients were enrolled in our study. There were ten males and eight females. The mean age was 11.2 years (range = 1-33 years). Headache, nausea, and vomiting were the most common clinical presentations. The mean duration of follow-up was 22.1 months (range = 6-60 months). All cases showed clinical and radiological improvement after surgery.
Endoscopic antegrade aqueductoplasty and stenting with the refashioned panventricular shunt catheter are an adequate treatment option for both TFV and supratentorial shunt malfuncion.
被困第四脑室（TFV）通常是幕上脑室脑脊液分流术的并发症，尤其是在脑积水由脑室内出血和/或感染引起时。本研究旨在评估使用单一改制分流管进行内镜下导水管支架置入术治疗同时存在TFV和分流功能障碍病例的可行性。
我们回顾性收集并分析了因TFV和幕上分流功能障碍而接受使用改制分流管进行内镜下导水管支架置入术的患者的数据。所有病例均于2010年1月至2019年7月在我们机构接受治疗。描述了手术技术。
18例患者纳入我们的研究。男性10例，女性8例。平均年龄11.2岁（范围=1 - 33岁）。头痛、恶心和呕吐是最常见的临床表现。平均随访时间为22.1个月（范围=6 - 60个月）。所有病例术后均显示临床和影像学改善。
使用改制的全脑室分流导管进行内镜下顺行导水管成形术和支架置入术是治疗TFV和幕上分流功能障碍的合适选择。
