Use of percutaneous endoscopy to place syringopleural or cystoperitoneal cerebrospinal fluid shunts - Technical note

被引:22
作者
Guest, JD
Silbert, L
Casas, CE
机构
[1] Univ Miami, Dept Neurol Surg, Lois Pope LIFE Ctr, Miami, FL 33136 USA
[2] Univ Miami, Miami Project Cure Paralysis, Miami, FL 33136 USA
[3] VA Med Ctr, Miami, FL USA
来源
JOURNAL OF NEUROSURGERY-SPINE | 2005年 / 2卷 / 04期
关键词
cerebrospinal fluid; percutaneous endoscopy; shunt; syringomyelia;
D O I
10.3171/spi.2005.2.4.0498
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors describe a technique for percutaneous endoscopic shunt placement to treat clinically symptomatic spinal cysts. Seven patients underwent the procedure-five with syringomyelia, one with a symptomatic perineurial cyst, and one with a large arachnoid cyst. In all patients the shunt was successfully placed, and clinical improvement occurred in six. In four patients the entire procedure was performed endoscopically, whereas in three conversion to an open surgical exposure was required for safe access of a syrinx cavity. Overall, however, the pleural or peritoneal catheter was successfully placed endoscopically in all seven patients. There were two cases of postoperative positional headaches of which one required valve revision. In one case the catheter migrated and required repositioning. Percutaneous endoscopic shunt placement appears feasible in appropriately selected patients.
引用
收藏
页码:498 / 504
页数:7
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