Abstract
Object
Choroid plexus surgery, which had been discarded as a treatment for hydrocephalus, was brought back into use with the development of modern neuroendoscopic technology. The object of this article is to describe the author’s experience of the surgery with special emphasis on the surgical indication.
Methods
Three infants underwent endoscopic choroid plexus coagulation as a treatment for hydrocephalus. Standard procedure for the surgery was unilateral transparietal insertion of a flexible neuroendoscope and electrical coagulation of the choroid plexus. The results showed the release of increased intracranial pressure in two infants, while the other, whose hydrocephalus was rather progressive, later required a VP shunt.
Conclusion
Choroid plexus surgery for hydrocephalus seems to be effective in some patients. Advanced modern technology has enabled the application of a neuroendoscope for this procedure. From our limited experience, the key to the success of endoscopic choroid plexus coagulation is the selection of patients. Favorable candidates for the surgery seem to be those who suffer from the slow progressive, severe form of hydrocephalus and who lack the septum pellucidum.
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References
Albright L (1981) Percutaneous choroid plexus coagulation in hydroanencephaly. Childs Brain 8:134–137
Buxton N, Macarthur D, Mallucci C, Punt J, Woeberghs M (1998) Neuroendoscopic third ventriculostomy in patients less than 1 year old. Pediatr Neurosurg 29:73–76
Cinalli G, Sainte-Rose C, Chumas P, Zerah M, Brunelle F, Lot G, Pierre-Kahn A, Renier D (1999) Failure of third ventriculostomy in the treatment of aqueductal stenosis in children. J Neurosurg 90:448–454
Cohen AR (1992) The history of neuroendoscopy. In: Manwaring KH, Crone KR (eds) Neuroendoscopy 1. Mary Ann Liebert, New York, pp 3–8
Jones RFC, Steining WA, Brydon M (1990) Endoscopic third ventriculostomy. Neurosurgery 26:86–92
Lapras C, Mertens P, Guilburd JN, Lapras C Jr, Pialat J, Patet JD (1988) Choroid plexectomy for the treatment of chronic infected hydrocephalus. Childs Nerv Syst 4:139–143
Milhorat TH (1974) Failure of choroid plexectomy as a treatment for hydrocephalus. Surg Gynecol Obstet 139:505–508
Milhorat TH, Hammock MK, Chien T, Davis DA (1976) Normal rate of cerebrospinal fluid formation five years after bilateral choroid plexectomy. J Neurosurg 44:735–739
Oi S, Hidaka M, Honda Y, Togo K, Shinoda M, Shimoda M, Tsugane R, Sato O (1999) Neuroendoscopic surgery for specific forms of hydrocephalus. Childs Nerv Syst 15:56–68
Oka K, Yamamoto M, Ikeda K, Tomonaga M (1993) Flexible endoneurosurgical therapy for aqueductal stenosis. Neurosurgery 33:236–243
Putnam TJ (1934) Treatment of hydrocephalus by endoscopic coagulation of choroid plexuses: description of new instrument. N Engl J Med 210:1373–1376
Scarff JE (1970) The treatment of nonobstructive (communicating) hydrocephalus by endoscopic cauterization of the choroid plexuses. J Neurosurg 33:1–12
Sutton LN, Bruce DA, Schut L (1980) Hydranencephaly versus maximal hydrocephalus: an important clinical distinction. Neurosurgery 6:35–38
Walker ML, MacDonald J, Wright LC (1992) The history of ventriculoscopy: where do we go from here? Pediatr Neurosurg 18:218–223
Wellons JC III, Tubbs RS, Leveque JCA, Blount JP, Oakes WJ (2002) Choroid plexectomy reduced neurosurgical intervention in patients with hydroanencephaly. Pediatr Neurosurg 36:148–152
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Morota, N., Fujiyama, Y. Endoscopic coagulation of choroid plexus as treatment for hydrocephalus: indication and surgical technique. Childs Nerv Syst 20, 816–820 (2004). https://doi.org/10.1007/s00381-004-0936-0
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DOI: https://doi.org/10.1007/s00381-004-0936-0