Ascending transaqueductal cystoventriculoperitoneal shunting in Dandy-Walker malformation: technical note.

Abstract:

:The optimal treatment for Dandy-Walker malformation is still controversial. Ventriculoperitoneal shunting, cystoperitoneal shunting or combinations are the most common surgical options in the management of this clinical entity. Endoscopic procedures like ventriculocystostomy, 3rd ventriculostomy or endoscopy-assisted shunt surgeries have become the focus of recent publications. We describe a new transcystic endoscopic technique, with the usage of a single ascending transaqueductal shunt catheter with additional holes, whereby both the posterior fossa cyst and supratentorial ventricular compartments are drained effectively. By using this new technique complications associated with combined shunting can be avoided. In addition, by equalizing the pressure within the supra- and infratentorial compartments, the upward or downward herniations associated with single-catheter shunting can be prevented.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Unal OF,Aras Y,Aydoseli A,Akcakaya MO

doi

10.1159/000353610

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

389-93

issue

6

eissn

1016-2291

issn

1423-0305

pii

000353610

journal_volume

48

pub_type

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