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New Surgical Therapy for Hydrocephalus: Percutaneous Flexible Endoneurosurgical Choroid Plexus Coagulation

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Book cover Hydrocephalus

Summary

A new flexible fiberoptic ventriculoscope (fiberscope) has been developed for percutaneous endoneurosurgery. This ventriculoscope has a wide channel, of 2.0 mm, allowing the use of a variety of different instruments, including an endoscopic contact Nd-YAG Laser fiber. Using our therapeutic ventriculoscope and contact Nd-YAG Laser fiber, we were successful in carrying out choroid plexus coagulation of the lateral ventricles in an infant with toxoplasmosis. After this procedure, production of cerebro-spinal fluid (CSF) diminished and its protein content gradually decreased. This ventriculoscope was applied safely to a patient in poor condition with hydrocephalus due to intra-ventricular lesions. Percutaneous endoneurosurgical choroid plexus coagulation was useful for this kind of hydrocephalus. This paper describes the device and summarizes its successful use in clinical practice.

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References

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© 1991 Springer-Verlag Tokyo

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Oka, K. et al. (1991). New Surgical Therapy for Hydrocephalus: Percutaneous Flexible Endoneurosurgical Choroid Plexus Coagulation. In: Matsumoto, S., Tamaki, N. (eds) Hydrocephalus. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68156-4_70

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  • DOI: https://doi.org/10.1007/978-4-431-68156-4_70

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68158-8

  • Online ISBN: 978-4-431-68156-4

  • eBook Packages: Springer Book Archive

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