Neuroendoscopic Foraminal Plasty of Foramen of Monro

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2008 Apr 15

PMID 18408934

Citations 6

Authors

Shizuo Oi

Yavor Enchev

Affiliations

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Abstract

Objectives: The aims of this study were to describe and analyze the technique of neuroendoscopic foraminal plasty of foramen of Monro (NEFPFMO) in the treatment of isolated unilateral hydrocephalus (IUH) due to membranous occlusion, to evaluate its efficacy and safety, and to define the benefits of neuronavigational guidance of the procedure.

Materials And Methods: Two symptomatic neonates with IUH, as a result of congenital atresia of foramen of Monro, underwent NEFPFMO plus neuroendoscopic septostomy in the first case and neuronavigational guidance in the second one. Clinical results were excellent in both neonates. The postoperative ventricular size decreased and the progressive IUH changed to the state of arrested hydrocephalus. The neuronavigation was precise.

Conclusion: NEFPFMO should be the primary treatment option in patients with IUH due to membranous occlusion of foramen of Monro. It reestablishes natural anatomical communication and provides real physiological cerebrospinal fluid flow. Neuronavigation is a useful adjunct of NEFPFMO.

Citing Articles

Hydrocephalus caused by unilateral foramen of Monro obstruction: A review on terminology.

Nigri F, Gobbi G, Ferreira Pinto P, Simoes E, Caparelli-Daquer E Surg Neurol Int. 2016; 7(Suppl 12):S307-13.

PMID: 27274402 PMC: 4879846. DOI: 10.4103/2152-7806.182392.

Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache.

Shukla D J Neurosci Rural Pract. 2016; 7(1):128-30.

PMID: 26933359 PMC: 4750309. DOI: 10.4103/0976-3147.172152.

Bilateral occlusion of the foramina of Monro after endoscopic third ventriculostomy for aqueductal stenosis--a case report.

Nagata Y, Takeuchi K, Nagatani T, Watanabe T, Sato Y, Tambara M Childs Nerv Syst. 2015; 32(4):739-43.

PMID: 26438545 DOI: 10.1007/s00381-015-2913-1.

Classification of hydrocephalus: critical analysis of classification categories and advantages of "Multi-categorical Hydrocephalus Classification" (Mc HC).

Oi S Childs Nerv Syst. 2011; 27(10):1523-33.

PMID: 21928018 DOI: 10.1007/s00381-011-1542-6.

Neuroendoscopic fenestration of the foramen of Monro without septostomy for unilateral hydrocephalus following neonatal intraventricular hemorrhage.

Chun H, Lee Y, Park H, Kim Y Childs Nerv Syst. 2010; 27(3):473-8.

PMID: 20811897 DOI: 10.1007/s00381-010-1272-1.

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