Minim Invasive Neurosurg 2010; 53(1): 29-33
DOI: 10.1055/s-0030-1247555
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Minimally Invasive Computer-Assisted Stereotactic Fenestration of an Aqueductal Cyst: Case Report

E. T. Fonoff1 , A. F. Gentil2 , P. M. Padilha1 , M. J. Teixeira1
  • 1Division of Functional Neurosurgery, Department and Institute of Psychiatry, University of Sao Paulo Medical School, Brazil
  • 2Protoc, Department and Institute of Psychiatry, University of Sao Paulo Medical School, Brazil
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Publikationsverlauf

Publikationsdatum:
07. April 2010 (online)

Abstract

Introduction: Current advances in frame modeling and computer software allow stereotactic procedures to be performed with great accuracy and minimal risk of neural tissue or vascular injury.

Case Report: In this report we associate a previously described minimally invasive stereotactic technique with state-of-the-art 3D computer guidance technology to successfully treat a 55-year-old patient with an arachnoidal cyst obstructing the aqueduct of Sylvius. We provide detailed technical information and discuss how this technique deals with previous limitations for stereotactic manipulation of the aqueductal region. We further discuss current advances in neuroendoscopy for treating obstructive hydrocephalus and make comparisons with our proposed technique.

Conclusion: We advocate that this technique is not only capable of treating this pathology but it also has the advantages to enable reestablishment of physiological CSF flow thus preventing future brainstem compression by cyst enlargement.

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Correspondence

E. T. FonoffMD, PhD 

Division of Functional Neurosurgery

Department & Institute of Psychiatry

University of Sao Paulo Medical School

R. Dr. Ovídio

Pires de Campos 785

01060-970 Sao Paulo – SP

Brazil

Telefon: +55/11/3237 2031

Fax: +55/11/3214 1557

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