Third Ventriculostomy in Late-onset Idiopathic Aqueductal Stenosis Treatment: A Focus on Clinical Presentation and Radiological Diagnosis
Endoscopic third ventriculostomy (ETV) is considered the gold standard treatment for obstructive hydrocephalus due to partial or complete obstruction of cerebrospinal fluid (CSF) ventricular pathways caused by mass lesions. However long-term efficacy of this procedure remains controversial as treatm...
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| Veröffentlicht in: | Neurologia medico-chirurgica 2014, Vol.54(12), pp.1014-1021 |
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| creator | LOCATELLI, Marco DRAGHI, Riccardo CRISTOFORI, Andrea DI CARRABBA, Giorgio ZAVANONE, Mario PLUDERI, Mauro SPAGNOLI, Diego RAMPINI, Paolo |
| description | Endoscopic third ventriculostomy (ETV) is considered the gold standard treatment for obstructive hydrocephalus due to partial or complete obstruction of cerebrospinal fluid (CSF) ventricular pathways caused by mass lesions. However long-term efficacy of this procedure remains controversial as treatment of chronic adult hydrocephalus due to stenosis of Sylvian acqueduct [late-onset idiopathic aqueductal stenosis (LIAS)]. The authors describe clinical presentation, diagnostic investigations in patients affected by LIAS, and define their clinical and radiological outcome after ETV. From January 2003 to December 2008, 13 consecutive LIAS patients treated by ETV were retrospectively reviewed. Pre- and post-operative clinical and radiological findings, including conventional and phase-contrast (PC) cine magnetic resonance imaging (MRI) were investigated. ETV was successfully performed in all patients. Patient’s neurological condition improved. No one required a second ETV procedure or shunt implantation. Clinical and radiological results reveal a satisfactory outcome of LIAS patients treated by ETV. At follow-up a clinical improvement could be demonstrated in all cases. Selection criteria of LIAS patients seem to be crucial to obtain satisfactory and long-lasting results. Even in elderly patients with chronic hydrocephalus, ETV can be considered the treatment of choice. |
| doi_str_mv | 10.2176/nmc.oa.2013-0367 |
| format | Article |
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"Ca' Granda" Ospedale Maggiore Policlinico ; Universita degli Studi di Milano ; Ospedale Generale "Moriggia-Pelascini" ; Gravedona (Como</creatorcontrib><description>Endoscopic third ventriculostomy (ETV) is considered the gold standard treatment for obstructive hydrocephalus due to partial or complete obstruction of cerebrospinal fluid (CSF) ventricular pathways caused by mass lesions. However long-term efficacy of this procedure remains controversial as treatment of chronic adult hydrocephalus due to stenosis of Sylvian acqueduct [late-onset idiopathic aqueductal stenosis (LIAS)]. The authors describe clinical presentation, diagnostic investigations in patients affected by LIAS, and define their clinical and radiological outcome after ETV. From January 2003 to December 2008, 13 consecutive LIAS patients treated by ETV were retrospectively reviewed. Pre- and post-operative clinical and radiological findings, including conventional and phase-contrast (PC) cine magnetic resonance imaging (MRI) were investigated. ETV was successfully performed in all patients. Patient’s neurological condition improved. No one required a second ETV procedure or shunt implantation. Clinical and radiological results reveal a satisfactory outcome of LIAS patients treated by ETV. At follow-up a clinical improvement could be demonstrated in all cases. Selection criteria of LIAS patients seem to be crucial to obtain satisfactory and long-lasting results. Even in elderly patients with chronic hydrocephalus, ETV can be considered the treatment of choice.</description><identifier>ISSN: 0470-8105</identifier><identifier>EISSN: 1349-8029</identifier><identifier>DOI: 10.2176/nmc.oa.2013-0367</identifier><identifier>PMID: 25446383</identifier><language>eng</language><publisher>Japan: The Japan Neurosurgical Society</publisher><subject>Adult ; Aged ; endoscope ; Female ; Follow-Up Studies ; Humans ; hydrocephalus ; Hydrocephalus - diagnosis ; Hydrocephalus - surgery ; Image Enhancement - methods ; late-onset idiopathic aqueductal stenosis ; Magnetic Resonance Imaging, Cine - methods ; Male ; Middle Aged ; Original ; Retrospective Studies ; Third Ventricle - surgery ; third ventriculostomy ; Treatment Outcome ; Ventriculostomy - methods</subject><ispartof>Neurologia medico-chirurgica, 2014, Vol.54(12), pp.1014-1021</ispartof><rights>2014 by The Japan Neurosurgical Society</rights><rights>2014 The Japan Neurosurgical Society 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c748t-dd8413357d5dd6fae37ce2e99ea045448735c57fba6223b42943ec7a81b863f33</citedby><cites>FETCH-LOGICAL-c748t-dd8413357d5dd6fae37ce2e99ea045448735c57fba6223b42943ec7a81b863f33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533356/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533356/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1877,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25446383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LOCATELLI, Marco</creatorcontrib><creatorcontrib>DRAGHI, Riccardo</creatorcontrib><creatorcontrib>CRISTOFORI, Andrea DI</creatorcontrib><creatorcontrib>CARRABBA, Giorgio</creatorcontrib><creatorcontrib>ZAVANONE, Mario</creatorcontrib><creatorcontrib>PLUDERI, Mauro</creatorcontrib><creatorcontrib>SPAGNOLI, Diego</creatorcontrib><creatorcontrib>RAMPINI, Paolo</creatorcontrib><creatorcontrib>Department of Medical and Surgical Pathophysiology of Organs and Transplantation</creatorcontrib><creatorcontrib>Neurosurgery Unit</creatorcontrib><creatorcontrib>Fondazione I.R.C.C.S. "Ca' Granda" Ospedale Maggiore Policlinico</creatorcontrib><creatorcontrib>Universita degli Studi di Milano</creatorcontrib><creatorcontrib>Ospedale Generale "Moriggia-Pelascini"</creatorcontrib><creatorcontrib>Gravedona (Como</creatorcontrib><title>Third Ventriculostomy in Late-onset Idiopathic Aqueductal Stenosis Treatment: A Focus on Clinical Presentation and Radiological Diagnosis</title><title>Neurologia medico-chirurgica</title><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><description>Endoscopic third ventriculostomy (ETV) is considered the gold standard treatment for obstructive hydrocephalus due to partial or complete obstruction of cerebrospinal fluid (CSF) ventricular pathways caused by mass lesions. However long-term efficacy of this procedure remains controversial as treatment of chronic adult hydrocephalus due to stenosis of Sylvian acqueduct [late-onset idiopathic aqueductal stenosis (LIAS)]. The authors describe clinical presentation, diagnostic investigations in patients affected by LIAS, and define their clinical and radiological outcome after ETV. From January 2003 to December 2008, 13 consecutive LIAS patients treated by ETV were retrospectively reviewed. Pre- and post-operative clinical and radiological findings, including conventional and phase-contrast (PC) cine magnetic resonance imaging (MRI) were investigated. ETV was successfully performed in all patients. Patient’s neurological condition improved. No one required a second ETV procedure or shunt implantation. Clinical and radiological results reveal a satisfactory outcome of LIAS patients treated by ETV. At follow-up a clinical improvement could be demonstrated in all cases. Selection criteria of LIAS patients seem to be crucial to obtain satisfactory and long-lasting results. Even in elderly patients with chronic hydrocephalus, ETV can be considered the treatment of choice.</description><subject>Adult</subject><subject>Aged</subject><subject>endoscope</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>hydrocephalus</subject><subject>Hydrocephalus - diagnosis</subject><subject>Hydrocephalus - surgery</subject><subject>Image Enhancement - methods</subject><subject>late-onset idiopathic aqueductal stenosis</subject><subject>Magnetic Resonance Imaging, Cine - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Retrospective Studies</subject><subject>Third Ventricle - surgery</subject><subject>third ventriculostomy</subject><subject>Treatment Outcome</subject><subject>Ventriculostomy - methods</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUU1vEzEUXCEQjUrvnJCPXDb4a9deDkhRSkulSCAIXC3Hfklc7drB9iL1J_Cv8SYllIu_3ryZ55mqek3wnBLRvvODmQc9p5iwGrNWPKtmhPGulph2z6sZ5gLXkuDmorpKyW0wplxyJsXL6oI2nLdMsln1e7130aIf4HN0ZuxDymF4QM6jlc5QB58gozvrwkHnvTNo8XMEO5qse_Qtgw_JJbSOoPNQGN6jBboJZkwoeLTsnXem4L5ESKWosyuv2lv0VRe-PuyO1Wund0eaV9WLre4TXD3ul9X3m4_r5ad69fn2brlY1UZwmWtrJSeMNcI21rZbDUwYoNB1oDEv35KCNaYR241uKWUbTjvOwAgtyUa2bMvYZfXhxHsYNwNYM_1c9-oQ3aDjgwraqf8r3u3VLvxSvGFFty0Ebx8JYihupKwGlwz0vfYQxqSIxFJw3LRdgeIT1MSQUoTtWYZgNYWoSohFUk0hqinE0vLm6Xjnhr-RFcDtCVCqk4PBF6NB3Ycx-uKbMpZ4GCNMnFxh3HBCFS56ZLoTTAllohz5P6b7lPUOzlI6Zmd6OM7WlBY6rU-HPCPMXkcFnv0BfzPL-Q</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>LOCATELLI, Marco</creator><creator>DRAGHI, Riccardo</creator><creator>CRISTOFORI, Andrea DI</creator><creator>CARRABBA, Giorgio</creator><creator>ZAVANONE, Mario</creator><creator>PLUDERI, Mauro</creator><creator>SPAGNOLI, Diego</creator><creator>RAMPINI, Paolo</creator><general>The Japan Neurosurgical Society</general><general>THE JAPAN NEUROSURGICAL SOCIETY</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>5PM</scope></search><sort><creationdate>2014</creationdate><title>Third Ventriculostomy in Late-onset Idiopathic Aqueductal Stenosis Treatment: A Focus on Clinical Presentation and Radiological Diagnosis</title><author>LOCATELLI, Marco ; DRAGHI, Riccardo ; CRISTOFORI, Andrea DI ; CARRABBA, Giorgio ; ZAVANONE, Mario ; PLUDERI, Mauro ; SPAGNOLI, Diego ; RAMPINI, Paolo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c748t-dd8413357d5dd6fae37ce2e99ea045448735c57fba6223b42943ec7a81b863f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>endoscope</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>hydrocephalus</topic><topic>Hydrocephalus - diagnosis</topic><topic>Hydrocephalus - surgery</topic><topic>Image Enhancement - methods</topic><topic>late-onset idiopathic aqueductal stenosis</topic><topic>Magnetic Resonance Imaging, Cine - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Retrospective Studies</topic><topic>Third Ventricle - surgery</topic><topic>third ventriculostomy</topic><topic>Treatment Outcome</topic><topic>Ventriculostomy - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LOCATELLI, Marco</creatorcontrib><creatorcontrib>DRAGHI, Riccardo</creatorcontrib><creatorcontrib>CRISTOFORI, Andrea DI</creatorcontrib><creatorcontrib>CARRABBA, Giorgio</creatorcontrib><creatorcontrib>ZAVANONE, Mario</creatorcontrib><creatorcontrib>PLUDERI, Mauro</creatorcontrib><creatorcontrib>SPAGNOLI, Diego</creatorcontrib><creatorcontrib>RAMPINI, Paolo</creatorcontrib><creatorcontrib>Department of Medical and Surgical Pathophysiology of Organs and Transplantation</creatorcontrib><creatorcontrib>Neurosurgery Unit</creatorcontrib><creatorcontrib>Fondazione I.R.C.C.S. "Ca' Granda" Ospedale Maggiore Policlinico</creatorcontrib><creatorcontrib>Universita degli Studi di Milano</creatorcontrib><creatorcontrib>Ospedale Generale "Moriggia-Pelascini"</creatorcontrib><creatorcontrib>Gravedona (Como</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Neurologia medico-chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LOCATELLI, Marco</au><au>DRAGHI, Riccardo</au><au>CRISTOFORI, Andrea DI</au><au>CARRABBA, Giorgio</au><au>ZAVANONE, Mario</au><au>PLUDERI, Mauro</au><au>SPAGNOLI, Diego</au><au>RAMPINI, Paolo</au><aucorp>Department of Medical and Surgical Pathophysiology of Organs and Transplantation</aucorp><aucorp>Neurosurgery Unit</aucorp><aucorp>Fondazione I.R.C.C.S. "Ca' Granda" Ospedale Maggiore Policlinico</aucorp><aucorp>Universita degli Studi di Milano</aucorp><aucorp>Ospedale Generale "Moriggia-Pelascini"</aucorp><aucorp>Gravedona (Como</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Third Ventriculostomy in Late-onset Idiopathic Aqueductal Stenosis Treatment: A Focus on Clinical Presentation and Radiological Diagnosis</atitle><jtitle>Neurologia medico-chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>2014</date><risdate>2014</risdate><volume>54</volume><issue>12</issue><spage>1014</spage><epage>1021</epage><pages>1014-1021</pages><issn>0470-8105</issn><eissn>1349-8029</eissn><abstract>Endoscopic third ventriculostomy (ETV) is considered the gold standard treatment for obstructive hydrocephalus due to partial or complete obstruction of cerebrospinal fluid (CSF) ventricular pathways caused by mass lesions. However long-term efficacy of this procedure remains controversial as treatment of chronic adult hydrocephalus due to stenosis of Sylvian acqueduct [late-onset idiopathic aqueductal stenosis (LIAS)]. The authors describe clinical presentation, diagnostic investigations in patients affected by LIAS, and define their clinical and radiological outcome after ETV. From January 2003 to December 2008, 13 consecutive LIAS patients treated by ETV were retrospectively reviewed. Pre- and post-operative clinical and radiological findings, including conventional and phase-contrast (PC) cine magnetic resonance imaging (MRI) were investigated. ETV was successfully performed in all patients. Patient’s neurological condition improved. No one required a second ETV procedure or shunt implantation. Clinical and radiological results reveal a satisfactory outcome of LIAS patients treated by ETV. At follow-up a clinical improvement could be demonstrated in all cases. Selection criteria of LIAS patients seem to be crucial to obtain satisfactory and long-lasting results. Even in elderly patients with chronic hydrocephalus, ETV can be considered the treatment of choice.</abstract><cop>Japan</cop><pub>The Japan Neurosurgical Society</pub><pmid>25446383</pmid><doi>10.2176/nmc.oa.2013-0367</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | J-STAGE Free; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Adult Aged endoscope Female Follow-Up Studies Humans hydrocephalus Hydrocephalus - diagnosis Hydrocephalus - surgery Image Enhancement - methods late-onset idiopathic aqueductal stenosis Magnetic Resonance Imaging, Cine - methods Male Middle Aged Original Retrospective Studies Third Ventricle - surgery third ventriculostomy Treatment Outcome Ventriculostomy - methods |
| title | Third Ventriculostomy in Late-onset Idiopathic Aqueductal Stenosis Treatment: A Focus on Clinical Presentation and Radiological Diagnosis |
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