Endoscopy in the management of intra-ventricular lesions: preliminary experience in the Middle East.

Abstract:

OBJECTIVES:The study is aimed at evaluating neuroendoscopic procedures in the management of various intra-cranial intra-ventricular lesions. METHODS:We retrospectively review 24 consecutive patients harboring various intra-ventricular lesions with or without associated hydrocephalus, operated and managed by the authors between December 2002 and December 2007. Depending on the preoperative imaging and working diagnosis, endoscopic biopsy or endoscopic resection/debulking, along with concomitant treatment of hydrocephalus via third ventriculostomy or fenestration of the septum pellucidum and ventriculo-peritoneal shunting, were done. RESULTS:The single endoscopic procedure was successful in most of the patients (22/24), where the goals of surgery in attaining a diagnostic biopsy or resection, and simultaneous treatment of hydrocephalus, were attained helping guide further therapy. The endoscopic procedure was the only procedure needed in most of the patients. CONCLUSIONS:The endoscopic procedures carried a high success rate in the management of intra-ventricular lesions, and were especially valuable in patients harboring chemo and/or radiosensitive deep seated tumors.

journal_name

Clin Neurol Neurosurg

authors

Najjar MW,Azzam NI,Baghdadi TS,Turkmani AH,Skaf G

doi

10.1016/j.clineuro.2009.08.027

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

17-22

issue

1

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(09)00239-X

journal_volume

112

pub_type

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