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Endoscopic Treatment of an Adult with Tegmental Astrocytoma Accompanied by Cerebrospinal Fluid Dissemination

Lu R, Li C, Wang X, Zhang Y

Midbrain gliomas are relatively rare neoplasms with a generally benign prognosis, with dissemination or metastasis not previously reported. We describe here a woman, in whom magnetic resonance imaging scans showed...
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Transcortical Endoscopic Surgery for Intraventricular Lesions

Kim MH

To review recent advances in endoscopic techniques for treating intraventricular lesions via transcortical passage. Articles in PubMed published since 2000 were searched using the keywords ‘endoscopy,’‘endoscopic,’ and ‘neuroendoscopic.’ Of these...
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Neuroendoscopy: Current and Future Perspectives

Shim KW, Park EK, Kim DS, Choi JU

Neuroendoscopic surgery is performed because it causes minimal damage to normal structures, carries a lower rate of complications, and achieves excellent outcomes. Surgeons using an endoscope and related instruments can...
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Endoscopic Third Ventriculostomy: Success and Failure

Deopujari , Karmarkar , Shaikh ST

Endoscopic third ventriculostomy (ETV) has now become an accepted mode of hydrocephalus treatment in children. Varying degrees of success for the procedure have been reported depending on the type and...
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Prevention of Complications in Endoscopic Third Ventriculostomy

Jung TY, Chong S, Kim IY, Lee JY, Phi JH, Kim SK, Kim JH, Wang KC

A variety of complications in endoscopic third ventriculostomy have been reported, including neurovascular injury, hemodynamic alterations, endocrinologic abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and infection. Even though most complications...
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Central hyperventilation syndrome due to massive pneumocephalus after endoscopic third ventriculostomy: a case report

Park E, Kim H, Lim BG, Lee DK, Chung D

Pneumocephalus is common after brain surgeries, but usually is not substantial enough to cause serious complications. We recently encountered a case of post-operative tachypnea after an endoscopic 3rd ventriculostomy. At...
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Outcome of External Ventricular Drainage according to the Operating Place: the Intensive Care Unit versus Operating Room

Kim SO, Song WJ, Won YS, Yang JY, Choi CS

BACKGROUND: External ventricular drainage (EVD) is an important procedure for draining excessive cerebrospinal fluid (CSF) and monitoring intracranial pressure. Generally, EVD is performed in the operating room (OR) under aseptic...
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Comparison of 3 and 7 Tesla Magnetic Resonance Imaging of Obstructive Hydrocephalus Caused by Tectal Glioma

Moon HC, Baek HM, Park YS

Obstructive hydrocephalus caused by tectal glioma, which relived by neuroendoscopy, have been described using 3.0 Tesla magnetic resonance imaging (3T MRI) so far, we present the results obtained from 3T...
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Utility of Two Types of MR Cisternography for Patency Evaluation of Aqueduct and Third Ventriculostomy Site: Three Dimensional Sagittal Fast Spin Echo Sequence and Steady-State Coherent Fast Gradient Echo Sequence

Park JH, Kim E, Park JB, Kim JH, Choi BS, Jung C, Bae YJ, Lee KM

PURPOSE: We aimed to evaluate the utility of two types of MR cisternography [fast spin echo sequence and steady-state coherent gradient echo (GRE) sequence] in addition to phase contrast-cine imaging...
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The Efficacy Analysis of Endoscopic Third Ventriculostomy in Infantile Hydrocephalus

He Z, An C, Zhang X, He X, Li Q

OBJECTIVE: To investigate the efficacy of endoscopic third ventriculostomy (ETV) for infantile hydrocephalus. METHODS: Retrospectively reviewed the 17 infantile hydrocephalus cases who were treated with ETV between July 2009 and June...
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Upfront Stereotactic Radiosurgery for Pineal Parenchymal Tumors in Adults

Park JH, Kim JH, Kwon DH, Kim CJ, Khang SK, Cho YH

OBJECTIVE: Pineal parenchymal tumors (PPTs) in adults are rare, and knowledge regarding their optimal management and treatment outcome is limited. Herein, we present the clinical results of our series of...
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Hydrocephalus due to Membranous Obstruction of Magendie's Foramen

Kasapas K, Varthalitis D, Georgakoulias N, Orphanidis G

We report a case of non communicating hydrocephalus due to membranous obstruction of Magendie's foramen. A 37-year-old woman presented with intracranial hypertension symptoms caused by the occlusion of Magendie's foramen...
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Critical Care for Patients with Massive Ischemic Stroke

Jeon SB, Koh Y, Choi HA, Lee K

Malignant cerebral edema following ischemic stroke is life threatening, as it can cause inadequate blood flow and perfusion leading to irreversible tissue hypoxia and metabolic crisis. Increased intracranial pressure and...
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Transient Obstructive Hydrocephalus due to Intraventricular Hemorrhage: A Case Report and Review of Literature

Lusis EA, Vellimana , Ray WZ, Chicoine M, Jost SC

BACKGROUND: Acute transient obstructive hydrocephalus is rare in adults. We describe a patient with intraventricular hemorrhage (IVH) who experienced the delayed development of acute transient hydrocephalus. CASE REPORT: A 33-year-old man...
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A Suprasellar Cystic Germ Cell Tumor Initially Diagnosed as an Arachnoid Cyst

Choi HS, Han JH, Bang JS, Kim IA, Kim CY

We report here the case of a suprasellar cystic germ cell tumor (GCT) initially diagnosed as an arachnoid cyst. A 10-year-old boy experienced headache, dizziness, and diplopia, and was shown...
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A Neonatal Form of Alexander Disease Presented with Intractable Seizures and Obstructive Hydrocephalus

Yoo IH, Hong WG, Kim H, Lim BC, Hwang H, Chae JH, Kim KJ, Hwang YS

Alexander disease is a rare degenerative leukodystrophy caused by dominant mutations in glial fibrillary acidic protein (GFAP). The neonatal form of Alexander disease may manifest as frequent and intractable seizures...
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Total intravenous anesthesia in a 10-month-old patient with congenital myotonic dystrophy undergoing endoscopic third ventriculostomy: A case report

Joh JH, Kim JY, Baek SH, Song JG, Lee YM, Kim JU

Myotonic dystrophy is a rare genetic disorder characterized by muscle atrophy and weakness. Surgical treatment of this condition poses various problems for the anesthesiologist. We describe the anesthetic management of...
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An Acute Postoperative Intractable Hyperventilation after an Endoscopic Third Ventriculostomy

Lee HM, Shin KB, Kim SH, Jee DL

This report describes a rare case of postoperative hyperventilation attack after an endoscopic third ventriculostomy in a 46-year-old woman. About 60 min after the termination of the operation, an intractable...
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Observations on the Activation of Chronic Compensated Hydrocephalus in Adult Patients

Jeon SI, Seo DH, Kwon YS, Choe IS, Park SC

OBJECTIVE: There is a broad spectrum of compensated hydrocephalus. Various terms such as long-standing overt ventriculomegaly in adult (LOVA) has been coined, however, even such terms leave diverse aspect of...
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Endoscopic Third Ventriculostomy in Patients with Shunt Malfunction

Lee SH, Kong DS, Seol HJ, Shin HJ

OBJECTIVE: This paper presents data from a retrospective study of endoscopic third ventriculostomy (ETV) in patients with shunt malfunction and proposes a simple and reasonable post-operative protocol that can detect...
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