TY - JOUR
T1 - Use of percutaneous endoscopy to place syringopleural or cystoperitoneal cerebrospinal fluid shunts
T2 - technical note.
AU - Guest, James D.
AU - Silbert, Lisa
AU - Casas, Carlos E.
PY - 2005/4
Y1 - 2005/4
N2 - The authors describe a technique for percutaneous endoscopic shunt placement to treat clinically symptomatic spinal cysts. Seven patients underwent the procedure--five with syringomyelia, one with a symptomatic perineurial cyst, and one with a large arachnoid cyst. In all patients the shunt was successfully placed, and clinical improvement occurred in six. In four patients the entire procedure was performed endoscopically, whereas in three conversion to an open surgical exposure was required for safe access of a syrinx cavity. Overall, however, the pleural or peritoneal catheter was successfully placed endoscopically in all seven patients. There were two cases of postoperative positional headaches of which one required valve revision. In one case the catheter migrated and required repositioning. Percutaneous endoscopic shunt placement appears feasible in appropriately selected patients.
AB - The authors describe a technique for percutaneous endoscopic shunt placement to treat clinically symptomatic spinal cysts. Seven patients underwent the procedure--five with syringomyelia, one with a symptomatic perineurial cyst, and one with a large arachnoid cyst. In all patients the shunt was successfully placed, and clinical improvement occurred in six. In four patients the entire procedure was performed endoscopically, whereas in three conversion to an open surgical exposure was required for safe access of a syrinx cavity. Overall, however, the pleural or peritoneal catheter was successfully placed endoscopically in all seven patients. There were two cases of postoperative positional headaches of which one required valve revision. In one case the catheter migrated and required repositioning. Percutaneous endoscopic shunt placement appears feasible in appropriately selected patients.
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U2 - 10.3171/spi.2005.2.4.0498
DO - 10.3171/spi.2005.2.4.0498
M3 - Article
C2 - 15871494
AN - SCOPUS:19044385643
SN - 1547-5654
VL - 2
SP - 498
EP - 504
JO - Journal of neurosurgery. Spine
JF - Journal of neurosurgery. Spine
IS - 4
ER -