Endoscopic third ventricle treatment of obstructive hydrocephalus TIF.docVIP

 PAGE \* MERGEFORMAT 9 Endoscopic third ventricle treatment of obstructive hydrocephalus TIF Of: Chen instrument, Yuansu Tao, Yu Ji, Lin Wei, Chenming Wu, Bo [Keywords:] hydrocephalus, ventricle, neural endoscopy, gastrostomy I Hospital in January 2006 -2009 adopted on February TIF Endoscopic third ventricle treatment of obstructive hydrocephalus in 28 cases, results were satisfactory, are as follows. 1 Clinical data 1.1 General Information The group of 28 patients, 19 male patients, 9 females, age (41.6 + -7.3 years old (14 to 57 years old. Clinical manifestations: headache, dizziness in 28 cases, vomiting in 14 cases, 8 cases of decreased vision, unsteady gait and Walking disorders in 17 cases, 12 cases of memory loss, urinary incontinence in 5 cases. underwent CT and MRI scans show site of obstruction: 24 cases in the narrow cerebral aqueduct, fourth ventricle exit (center hole or outside the hole) stenosis in 4 cases. 1.2 Instrument With Germany AESCULAP (AESCULAP) hard endoscope (four-channel, diameter 6.4 mm), while application of bipolar coagulation fork, hook-type monopolar coagulation, LeMaitre or Fogarty balloon catheter (4F) and endoscopic micro forceps. 1.3 Procedures Patients with supine position, head position to raise 30 , surgery under general anesthesia to the coronal suture before the 1 cm, 2.5 cm right-midline landmarks for the burr holes to mark the mid point to make a straight incision parallel to the midline 4 cm or small “horseshoe flap” type incision, drill a bone hole, and to expand into a diameter of about 1.5 cm, “+”-shaped dural incision, coagulation cortical surface vessels, the core of the lens with a guide sheath into the right ventricle, Core pulling out of its scabbard, import endoscopy, then rinse channel to Ringer continuous irrigation to the operative field clear, exploration and chamber foramen and surrounding structure, the expansion chamber into the third ventricle between the hole at the bott