Sadashiva Nishanth, Konar Subhas, Jain Chirag, Shukla Dhaval
Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Neurosurg Focus Video. 2023 Apr 1;8(2):V4. doi: 10.3171/2023.1.FOCVID22152. eCollection 2023 Apr.
Patients with multiloculated hydrocephalus have multiple, separate abnormal CSF collections with no communication between them. Causes include complications of neonatal meningitis, germinal matrix hemorrhage in neonates, head trauma, and intracranial surgery. Endoscopic fenestration with shunt insertion is a safe and less invasive technique as the initial treatment. In this video, the authors demonstrate a few cases in which electromagnetic navigation was used with a stylet inserted through the operating endoscope to guide the surgeon. Modalities such as insertion of intraventricular contrast and fluorescein may be used as adjuvants, as demonstrated. The use of navigation helps to identify distorted anatomical landmarks and guides surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2023.1.FOCVID22152.
多房性脑积水患者有多个独立的异常脑脊液聚集区，它们之间没有连通。病因包括新生儿脑膜炎并发症、新生儿生发基质出血、头部外伤和颅内手术。内镜开窗并插入分流管作为初始治疗是一种安全且侵入性较小的技术。在本视频中，作者展示了几例使用电磁导航并通过操作内镜插入探针来引导外科医生的病例。如所示，脑室内注入造影剂和荧光素等方法可作为辅助手段。导航的使用有助于识别变形的解剖标志并指导手术。视频可在此处找到：https://stream.cadmore.media/r10.3171/2023.1.FOCVID22152 。
