Endoscopic third ventriculostomy (ETV) has become the treatment of choice for non-communicating hydrocephalus. Nevertheless, which technique should be considered of choice to identify features correlating with the failure of an endoscopic procedure and which is the optimal postoperative period care standard are still a matter of debate. Traditional neuroimaging techniques have several limitations in assessing the success of the procedure mostly in the early postoperative period. Indeed, a decrease in the ventricular size is often minimal and not visible before 3–4 weeks. MRI, able to detect the presence of a flow void signal through the third ventricle floor, has been reported to have a significantly high incidence of false positives. In our experience, the continuous measuring of intracranial pressure (ICP) by means of a ventricular catheter has been of great help in verifying the correct functioning of the communication between the ventricle and the subarachnoidal spaces during the first postoperative days. Furthermore, ICP monitoring allowed us to safely deal with the intracranial hypertension that may occur shortly after ETV.

Intracranial pressure monitoring after endoscopic third ventriculostomy: an effective method to manage the 'adaptation period' / Bellotti, A; Rapanà, A; Iaccarino, C; Schonauer, M. - In: CLINICAL NEUROLOGY AND NEUROSURGERY. - ISSN 0303-8467. - 103:4(2001), pp. 223-227. [10.1016/S0303-8467(01)00154-8]

Intracranial pressure monitoring after endoscopic third ventriculostomy: an effective method to manage the 'adaptation period'

Iaccarino C;
2001

Abstract

Endoscopic third ventriculostomy (ETV) has become the treatment of choice for non-communicating hydrocephalus. Nevertheless, which technique should be considered of choice to identify features correlating with the failure of an endoscopic procedure and which is the optimal postoperative period care standard are still a matter of debate. Traditional neuroimaging techniques have several limitations in assessing the success of the procedure mostly in the early postoperative period. Indeed, a decrease in the ventricular size is often minimal and not visible before 3–4 weeks. MRI, able to detect the presence of a flow void signal through the third ventricle floor, has been reported to have a significantly high incidence of false positives. In our experience, the continuous measuring of intracranial pressure (ICP) by means of a ventricular catheter has been of great help in verifying the correct functioning of the communication between the ventricle and the subarachnoidal spaces during the first postoperative days. Furthermore, ICP monitoring allowed us to safely deal with the intracranial hypertension that may occur shortly after ETV.
2001
103
4
223
227
Intracranial pressure monitoring after endoscopic third ventriculostomy: an effective method to manage the 'adaptation period' / Bellotti, A; Rapanà, A; Iaccarino, C; Schonauer, M. - In: CLINICAL NEUROLOGY AND NEUROSURGERY. - ISSN 0303-8467. - 103:4(2001), pp. 223-227. [10.1016/S0303-8467(01)00154-8]
Bellotti, A; Rapanà, A; Iaccarino, C; Schonauer, M
File in questo prodotto:
File Dimensione Formato  
2001 Bellotti ClinNeurolNeuros Adaptation period.pdf

Accesso riservato

Dimensione 155.5 kB
Formato Adobe PDF
155.5 kB Adobe PDF   Visualizza/Apri   Richiedi una copia
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1207126
Citazioni
  • ???jsp.display-item.citation.pmc??? 2
  • Scopus 34
  • ???jsp.display-item.citation.isi??? 32
social impact