Acta Neurochirurgica

, Volume 158, Issue 6, pp 1203–1204 | Cite as

If it can be done, it should be done,… or not? Response to Prof. Grotenhuis

  • Alberto FelettiEmail author
  • Matteo Alicandri-Ciufelli
  • Giacomo Pavesi
Letter to the editor - Editorial

Dear Editor,

We have been pleased to see that our short technical note recently published in Acta Neurochirurgica aroused interest, curiosity, and debate [1]. We would like to thank Prof. Andrè Grotenhuis for his thorough, rigorous, and compelling comment on our paper [2]. His excursus through philosophical and ethical considerations is fascinating and sharable. We totally agree with the profound meaning of his editorial, which is the reminder of the Hippocratic lesson “primum non nocère”. Therefore, we will limit our brief letter to the answer to his technical questions.

As Prof. Grotenhuis, we were also puzzled about the imaging of our patient at first. Comparing the initial MRI that the patient had 8 years prior to admission and the one immediately before operation, the cyst enlargement is clear. Also the enlargement of the third ventricle (downward displacement of the floor) and the dilation of the lateral ventricles (thinning of corpus callosum, which is displaced upward) are...


Hydrocephalus Lateral Ventricle Posterior Fossa Endoscopic Procedure Fourth Ventricle 
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Compliance with ethical standards


No funding or financial support was received for this work. The authors declare no industry affiliation.


  1. 1.
    Feletti A, Alicandri-Ciufelli M, Pavesi G (2016) Transaqueductal trans-Magendie fenestration of arachnoid cyst in the posterior fossa. Acta Neurochir (Wien) 158(4):655–662CrossRefGoogle Scholar
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    Grotenhuis A (2016) If it can be done, it should be done,…or not? Acta Neurochir (Wien) 158(4):649–653CrossRefGoogle Scholar
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Copyright information

© Springer-Verlag Wien 2016

Authors and Affiliations

  • Alberto Feletti
    • 1
    Email author
  • Matteo Alicandri-Ciufelli
    • 1
  • Giacomo Pavesi
    • 1
  1. 1.Unit of Neurosurgery, Department of NeurosciencesNOCSAE Modena HospitalModenaItaly

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