Hydrocephalus and the Dandy-Walker Malformation

Cinalli, Giuseppe; Spennato, Pietro; de, María; Buonocore, Maria Consiglio

doi:10.1007/978-88-470-2121-1_18

Cited by 9 publications

(16 citation statements)

References 65 publications

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“…The cause of hydrocephalus may be multifactorial [50], even if an obstructive component, secondary to atresia of the foramina of Lushka and Magendie and/or aqueductal stenosis is usually recognizable [50]. The treatment of this type of hydrocephalus is controversial.…”

Section: Hydrocephalus and Fourth Ventricle Outlets Obstructionmentioning

confidence: 98%

“…ETV, creating a communication between the ventricular system and the subarachnoid space, can be considered a valid alternative to shunting, at least in those patients affected by Dandy-Walker malformation without associated intracranial anomalies. In fact, these can be responsible for further impairment of CSF circulation [50]. ETV should be preferred as first-line treatment for microsurgical fenestration of the posterior fossa cyst, due to the minimal surgical trauma and the reduced risk of postoperative adhesions.…”

Section: Hydrocephalus and Fourth Ventricle Outlets Obstructionmentioning

confidence: 98%

“…Shunting procedures (from the lateral ventricle, from the posterior fossa cyst or combined, 'Y' connected, ventriculo-peritoneal/cystoperitoneal shunt) are disappointing, with high mortality and morbidity secondary to the high rate of shunt malfunction and dislocation [5,[50][51][52]. Microsurgical fenestration of the posterior fossa membrane has been providing encouraging results, but should be reserved for more complicated cases [50,53]. ETV, creating a communication between the ventricular system and the subarachnoid space, can be considered a valid alternative to shunting, at least in those patients affected by Dandy-Walker malformation without associated intracranial anomalies.…”

Section: Hydrocephalus and Fourth Ventricle Outlets Obstructionmentioning

confidence: 99%

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Current state and future development of intracranial neuroendoscopic surgery

Cinalli¹,

Cappabianca

Falco

et al. 2005

Expert Review of Medical Devices

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Since the introduction of the modern, smaller endoscopes in the 1960s, neuroendoscopy has become an expanding field of neurosurgery. Neuroendoscopy reflects the tendency of modern neurosurgery to aim towards minimalism; that is, access and visualization through the narrowest practical corridor and maximum effective action at the target point with minimal disruption of normal tissue. Transventricular neuroendoscopy allows the treatment of several pathologies inside the ventricular system, such as obstructive hydrocephalus and intra-/paraventricular tumors or cysts, often avoiding the implantation of extracranial shunts or more invasive craniotomic approaches. Endoscopic endonasal transphenoidal surgery allows the treatment of pathologies of the sellar and parasellar region, with the advantage of a wider vision of the surgical field, less traumatism of the nasal structures, greater facility in the treatment of possible recurrences and reduced complications. However, an endoscope may be used to assist microsurgery in virtually any kind of neurosurgical procedures (endoscope-assisted microsurgery), particularly in aneurysm and tumor surgery. Basic principles of optical imaging and the physics of optic fibers are discussed, focusing on the neuroendoscope. The three main chapters of neuroendoscopy (transventricular, endonasal transphenoidal and endoscope-assisted microsurgery) are reviewed, concerning operative instruments, surgical procedures, main indications and results.

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Section: Hydrocephalus and Fourth Ventricle Outlets Obstructionmentioning

confidence: 98%

Section: Hydrocephalus and Fourth Ventricle Outlets Obstructionmentioning

confidence: 98%

Section: Hydrocephalus and Fourth Ventricle Outlets Obstructionmentioning

confidence: 99%

See 1 more Smart Citation

Current state and future development of intracranial neuroendoscopic surgery

Cinalli¹,

Cappabianca

Falco

et al. 2005

Expert Review of Medical Devices

Self Cite

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show abstract

“…It has also to be considered that more than 80% of Dandy-Walker infants are not hydrocephalic at birth (Cinalli et al 2004b). Shaw et al (Shaw et al 1995) described atresia of one or both foramina of Lushcka in 20% of autoptic normal brains.…”

Section: Pathogenesismentioning

confidence: 99%

Advances and Technical Standards in Neurosurgery

2006

Advances and Technical Standards in Neurosurgery

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“…Considering clinical aspects, DWC cysts are often related to other developmental anomalies and very commonly involve hydrocephalus, with greater motor rather than cognitive impairment in most cases 8,9,13 . To many authors 9,[14][15][16][17] , treatment options for patients with BPC and hydrocephalus range from marsupialization of the posterior fossa cyst to shunting of the cyst or ventricle; however, all of them have reported complications and high morbidity associated with open surgery and shunt-related problems. Endoscopic third ventriculostomy (ETV) has been effective in the treatment of obstructive hydrocephalus, with some advantages over the conventional approaches [18][19][20] .…”

mentioning

confidence: 99%

Endoscopic third ventriculostomy is a safe and effective procedure for the treatment of Blake's pouch cyst

Brusius

Cavalheiro

2013

Arq. Neuro-Psiquiatr.

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OBJECTIVE: Blake's pouch cyst (BPC) is a midline cystic malformation of the posterior fossa, within Dandy-Walker's complex (DWC), often associated with hydrocephalus. Endoscopic third ventriculostomy (ETV) has been an alternative to conventional methods for BPC treatment. This study aimed at reporting our experience with ETV in a series of patients with BPC. METHODS: Of 33 patients diagnosed with midline posterior fossa cyst, 26 met the protocol criteria for DWC, and eight subjects with BPC were selected (aged one month to two years old). All cases were treated with ETV. RESULTS: Five patients were male; and three were prenatally diagnosed. They had hydrocephalus and motor deficiencies. Motor assessment at a five-year follow-up yielded normal findings. All patients improved, and only one had residual cognitive dysfunction, despite overall neurological improvement. There were no complications. CONCLUSIONS: ETV was a safe and effective procedure, reducing risks and morbidity associated with open surgery and shunt-related problems.

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Hydrocephalus and the Dandy-Walker Malformation

Cited by 9 publications

References 65 publications

Current state and future development of intracranial neuroendoscopic surgery

Current state and future development of intracranial neuroendoscopic surgery

Advances and Technical Standards in Neurosurgery

Endoscopic third ventriculostomy is a safe and effective procedure for the treatment of Blake's pouch cyst

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