Endoscopic Transaqueductal Placement of a Single-Catheter Cyst-Ventriculoperitoneal Shunt in a Neonate With Dandy-Walker Malformation-Associated Hydrocephalus -Case Report-

  • MORIGAKI Ryoma
    Department of Neurosurgery, National Hospital Organization, Kagawa Children's Hospital
  • POOH Kyong-Hon
    Department of Neurosurgery, National Hospital Organization, Kagawa Children's Hospital
  • NAKAGAWA Yoshinobu
    Department of Neurosurgery, National Hospital Organization, Kagawa Children's Hospital

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タイトル別名
  • —Case Report—

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A neonate with hydrocephalus associated with Dandy-Walker malformation was successfully treated with an endoscopic placement of a transaqueductal ventricular single catheter. The modified catheter was provided with additional fenestration on its proximal side to allow simultaneous drainage from both the supra- and infratentorial compartments. This technique is well known for isolated fourth ventricles, but has not been applied to hydrocephalus associated with Dandy-Walker malformation. The cyst-ventriculoperitoneal shunt effectively drained both compartments. The patient was doing well 18 months after the surgical procedure. Endoscopic transaqueductal shunt placement can be considered, especially in patients with aqueductal patency.<br>

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