Kehler U, Gliemroth J, Arnold H
Neurochirurgische Klinik Medizinische Universität, Lübeck, Germany.
Minim Invasive Neurosurg. 1997 Sep;40(3):101-2. doi: 10.1055/s-2008-1053426.
Asymmetric and/or loculated hydrocephalus can be treated with endoscopic septum fenestration to avoid or to simplify a shunt (1,2). In asymmetric lateral ventricles the septum pellucidum is dislocated to the opposite side and may even be in contact with the lateral wall of the contralateral ventricle (i.e., the thalamus). Perforating the septum with a catheter or a laser beam may damage the underlying tissue. The authors show a safe perforation technique: the septum is pulled towards the tip of the endoscope to enlarge the underlying space. Now the catheter can perforate the septum without the risk of damage to the underlying tissue.
不对称性和/或分叶状脑积水可通过内镜下透明隔造瘘术进行治疗，以避免或简化分流手术（1,2）。在不对称性侧脑室中，透明隔向对侧移位，甚至可能与对侧脑室壁（即丘脑）接触。用导管或激光束穿透透明隔可能会损伤其下方的组织。作者展示了一种安全的穿孔技术：将透明隔拉向内镜尖端以扩大其下方空间。此时导管可以穿透透明隔而不会有损伤其下方组织的风险。
