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Endoscopic aqueductoplasty in the treatment of aqueductal stenosis.
[hydrocephalus with stenosis of the aqueduct of sylvius]
Endoscopic
aqueductoplasty
is
an
option
of
treatment
of
obstructive
hydrocephalus
caused
by
aqueductal
stenosis
.
We
report
on
our
experience
with
this
endoscopic
technique
.
Eighteen
patients
with
primary
or
secondary
aqueductal
stenosis
underwent
endoscopic
aqueductoplasty
(
EA
)
with
or
without
stenting
between
July
2004
and
January
2007
.
EA
,
EA
with
a
stent
,
EA
with
endoscopic
third
ventriculostomy
(
ETV
)
,
and
EA
with
stenting
in
addition
to
ETV
were
performed
in
eight
,
five
,
three
,
and
two
patients
,
respectively
.
A
repeat
endoscopic
procedure
was
done
in
one
patient
.
EA
with
a
stent
was
performed
in
case
1
,
8
months
after
first
endoscopic
procedure
.
In
four
cases
,
aqueductoplasty
with
stent
was
performed
through
a
suboccipital
approach
.
There
were
no
deaths
due
to
the
neuroendoscopic
procedures
.
All
of
the
patients
showed
improvement
or
resolution
of
their
preoperative
symptoms
,
although
in
case
1
a
new
endoscopic
procedure
was
performed
:
EA
with
a
stent
.
Cerebral
aqueductoplasty
is
an
effective
and
successful
treatment
for
membranous
and
/
or
short
-segment
stenosis
of
the
sylvian
aqueduct
.
Endoscopic
aqueductoplasty
candidates
must
be
selected
very
carefully
but
longer
follow-up
periods
are
necessary
to
evaluate
long
-term
aqueductal
patency
after
aqueductoplasty
.
Diseases
Validation
Diseases presenting
"cerebral aqueductoplasty"
symptom
hydrocephalus with stenosis of the aqueduct of sylvius
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