Department of Neurosurgery, Kansai Medical University, Hirakata, Japan.
Br J Neurosurg. 2023 Dec;37(6):1753-1756. doi: 10.1080/02688697.2021.1900782. Epub 2021 Mar 26.
In order to remove a foreign body in the ventricle, such as a ventricular drainage catheter, craniotomy and corticotomy are required to access the ventricle. A case in which a catheter in the 4th ventricle was safely removed with a flexible neuroendoscope is reported.
A 47-year-old man underwent coil embolization and ventricular drainage for subarachnoid hemorrhage. 10 days after the operation, he tore off the ventricular drainage catheter and the catheter remained intracranially. The tip of the catheter was in the 4th ventricle and the operation to remove remaining catheter with a neuroendoscope was performed. Using a neuroendoscope, we could remove the catheter safely and did not detect the complications.
To date, there have been no reports of cases in which a drainage catheter in the ventricle was removed using a flexible endoscope. This case suggests that a flexible endoscope is useful for removing a foreign body from the ventricle less invasively.
为了取出脑室内的异物，如脑室引流管，需要进行开颅术和皮质切开术以进入脑室。本文报告了一例使用软性神经内镜安全取出第四脑室导管的病例。
一名 47 岁男性因蛛网膜下腔出血而行线圈栓塞和脑室引流术。术后 10 天，他扯掉了脑室引流管，而导管仍留在颅内。导管尖端位于第四脑室，因此我们使用神经内镜进行了剩余导管取出的手术。使用神经内镜，我们可以安全地取出导管，并且没有发现并发症。
迄今为止，尚无使用软性内镜取出脑室引流管的病例报告。本病例提示软性内镜对于微创取出脑室内异物是有用的。
