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Risk reduction of subdural collections following endoscopic third ventriculostomy

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Abstract

Object

To evaluate the efficacy and safety using fibrin glue and absorbable hemostats for packing the endoscopic tract in a pediatric population in the prevention of subdural fluid collections after endoscopic third ventriculostomy.

Materials and methods

Twenty-one endoscopic third ventriculostomies were performed in 20 hydrocephalic children with a mean age of 22 months over a 4-year period using uniformly this technique. Six children, with age ranged 6 days to 22 months (mean 9 months), had severe ventriculomegaly with thin brain mantle less than 10 mm. There was no mortality and no permanent morbidity related to the endoscopic procedure. One child developed an asymptomatic collection, which could be managed conservatively and was most likely attributed to the young age of the child and the assumed poor cerebrospinal fluid absorption ability. Lost compliance of the brain parenchyma may play an additional role, which was not related to the thickness of the brain mantle. No adverse effects regarding the material used for sealing were observed over a mean follow-up of 23 months.

Conclusions

Subdural fluid collections could be prevented in 20 out of 21 procedures by using this technique regardless of the thickness of the brain mantle, the application of mixture of fibrin glue and hemostatic agents seems to be safe, and we consider this technique effective in reducing the risk of this potential complication.

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References

  1. Al-Yamany M, Del Maestro RF (2000) Prevention of subdural fluid collections following transcortical intraventricular and/or paraventricular procedures by using fibrin adhesive. J Neurosurg 92:406–412

    PubMed  CAS  Google Scholar 

  2. Bänninger H, Hardegger T, Tobler A, Barth A, Schüpach P, Reinhart W et al (1993) Fibrin glue in surgery: frequent development of inhibitors of bovine thrombin and human factor V. Br J Haematol 85:528–532

    Article  PubMed  Google Scholar 

  3. Beni-Adani L, Siomin V, Segev Y, Beni S, Constantini S (2000) Increasing chronic subdural hematoma after endoscopic III ventriculostomy. Childs Nerv Syst 16:402–405

    Article  PubMed  CAS  Google Scholar 

  4. Caers J, Reekmans A, Jochmans K, Naegels S, Mana F, Urbain D et al (2003) Factor V inhibitor after injection of human thrombin (tissucol) into a bleeding peptic ulcer. Endoscopy 35:542–544

    Article  PubMed  CAS  Google Scholar 

  5. De Vries J, Menovsky T, Van Gulik S, Wesseling P (2002) Histological effects of fibrin glue on nervous tissue: a safety study in rats. Surg Neurol 57:415–422

    Article  PubMed  Google Scholar 

  6. Diez-Martin J, Sikkink RA, Gilchrist GS, Bowie EJW, Fass DN (1990) Development of anti-bovine thrombin antibodies following neurosurgical procedures. Br J Haematol 74:369–370

    PubMed  CAS  Google Scholar 

  7. Di Rocco F, Yoshino M, Oi S (2005) Neuroendoscopic transventricular ventriculocystostomy in treatment for intracranial cysts. J Neurosurg (Pediatrics 1) 103:54–60

    Google Scholar 

  8. Freudenstein D, Wagner A, Ernemann U, Duffner F (2002) Subdural hygroma as a complication of endoscopic neurosurgery—two case reports. Neurol Med Chir 42:554–559

    Article  Google Scholar 

  9. Fukuhara T, Vorster SJ, Luciano MG (2000) Risk factors for failure of endoscopic third ventriculostomy for obstructive hydrocephalus. Neurosurgery 46:1100–1111

    Article  PubMed  CAS  Google Scholar 

  10. Hirsch JF, Sainte-Rose C (1991) A new surgical approach to subcortical lesions: balloon inflation and cortical gluing. J Neurosurg 74:1014–1017

    PubMed  CAS  Google Scholar 

  11. Hopf NJ, Grunert P, Fries G, Resch KD, Perneczky A (1999) Endoscopic third ventriculostomy: outcome analysis of 100 consecutive procedures. Neurosurgery 44:795–804

    Article  PubMed  CAS  Google Scholar 

  12. Ito H, Onishi H, Shoin K, Nagatani H (1989) Granuloma caused by oxidized cellulose following craniotomy. Acta Neurochir 100:70–73

    Article  CAS  Google Scholar 

  13. Jones RF, Kwok BC, Stening WA, Vonau M (1994) Neuroendoscopic third ventriculostomy. A practical alternative to extracranial shunts in non-communicating hydrocephalus. Acta Neurochir Suppl 61:79–83

    Google Scholar 

  14. Kassam A, Nemeto E, Balzer J, Rao G, Welch WC, Kuwabara H et al (2004) Effects of tisseel fibrin glue on the central nervous system of nonhuman primates. Ear Nose Throat J 83:246–248

    PubMed  Google Scholar 

  15. Kim BS, Jallo GI, Kothbauer K, Abbott R (2004) Chronic subdural hematoma as a complication of endoscopic third ventriculostomy. Surg Neurol 62:64–68

    Article  PubMed  Google Scholar 

  16. Kothbauer K, Jallo GI, Siffert J, Jimenez E, Allen JC, Epstein FJ (2001) Foreign body reaction to hemastatic materials mimicking recurrent brain tumor. J Neurosurg 95:503–506

    PubMed  CAS  Google Scholar 

  17. Macarthur DC, Buxton N, Vloeberghs M, Punt J (2001) The effectiveness of neuroendoscopic interventions in children with brain tumours. Childs Nerv Syst 17:589–594

    Article  PubMed  CAS  Google Scholar 

  18. Maeda Y, Inamura T, Morioka T, Muratani H, Fukui M (2000) Hemorrhagic subdural effusion complicating an endoscopic III ventriculostomy. Childs Nerv Syst 16:312–314

    Article  PubMed  CAS  Google Scholar 

  19. Mohanty A, Anandh B, Reddy MS, Sastry KV (1997) Contralateral massive acute subdural collection after endoscopic third ventriculostomy—a case report. Minim Invasive Neurosurg 40:59–61

    Article  PubMed  CAS  Google Scholar 

  20. Oi S (1996) Recent advances in neuroendoscopic surgery: realistic indications and clinical achievements. Crit Rev Neurosurg 6:64–72

    Google Scholar 

  21. Oi S, Hidaka M, Honda Y, Togo K, Shinoda M, Shimoda M et al (1999) Neuroendoscopic surgery for specific forms of hydrocephalus. Childs Nerv Syst 15:56–68

    Article  PubMed  CAS  Google Scholar 

  22. Oi S, Shimoda M, Shibata M, Honda Y, Togo K, Shinoda M, et al (2000) Pathophysiology of long-standing overt ventriculomegaly in adults. J Neurosurg 92:933–940

    PubMed  CAS  Google Scholar 

  23. Oi S, Samii A, Samii M (2005) Frameless free-hand maneuvering of a small-diameter rigid-rod neuroendoscope with a working channel used during high-resolution imaging. J Neurosurg 102:113–118

    PubMed  Google Scholar 

  24. Santamarta D, Diaz Alvarez A, Goncalves JM, Hernandez J (2005) Outcome of endoscopic third ventriculostomy. Results from an unselected series with noncommunicating hydrocephalus. Acta Neurochir 147:377–382

    Article  CAS  Google Scholar 

  25. Schlag MG, Hopf R, Zifko U, Redl H (2002) Epileptic seizures following cortical application of fibrin sealants containing tranexamic acid in rats. Acta Neurochir 144:63–69

    Article  CAS  Google Scholar 

  26. Schroeder HWS, Niendorf WR, Gaab MR (2002) Complications of endoscopic third ventriculostomy. J Neurosurg 96:1032–1040

    Article  PubMed  Google Scholar 

  27. Schroeder HWS, Oertel J, Gaab MR (2004) Incidence of complications in neuroendoscopic surgery. Childs Nerv Syst 20:878–883

    Article  PubMed  Google Scholar 

  28. Sgaramella E, Castelli G, Sotgiu S (2004) Chronic subdural collection after endoscopic third ventriculostomy. Acta Neurochir 146:529–530

    Article  CAS  Google Scholar 

  29. Strootbandt G (1989) Les localisations des épanchements péricérébraux du nourrison. Neurochirurgie 35:407–409

    PubMed  CAS  Google Scholar 

Download references

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Authors and Affiliations

  1. Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Jikei University, 3-25-8 Nishi-Shinbashi, Minato-ku, 105-8461, Tokyo, Japan

    Senta Kurschel, Shigeki Ono & Shizuo Oi

  2. Department of Neurosurgery, Medical University, Graz, Austria

    Senta Kurschel

Authors
  1. Senta Kurschel
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  2. Shigeki Ono
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  3. Shizuo Oi
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Correspondence to Shizuo Oi.

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Kurschel, S., Ono, S. & Oi, S. Risk reduction of subdural collections following endoscopic third ventriculostomy. Childs Nerv Syst 23, 521–526 (2007). https://doi.org/10.1007/s00381-006-0278-1

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  • DOI: https://doi.org/10.1007/s00381-006-0278-1

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