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. 2013 Feb;79(2 Suppl):S20.e15-8.
doi: 10.1016/j.wneu.2012.02.013. Epub 2012 Feb 10.

Endoscopic aqueductoplasty and stenting

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Endoscopic aqueductoplasty and stenting

Michael J Fritsch et al. World Neurosurg. 2013 Feb.

Abstract

Objective: This paper discusses indications for and the technique of endoscopic aqueductoplasty with stenting.

Methods: We review and summarize the clinical experience with endoscopic aqueductoplasty gained over the last 15 years on pediatric and adult patients.

Results: Endoscopic aqueductoplasty with stenting presents a safe procedure. In well selected patients, it provides a long-term, stable clinical course. Aqueductoplasty alone has a high reclosure rate and should be avoided.

Conclusions: Aqueductoplasty with stenting is the procedure of choice for the treatment of isolated fourth ventricle. Membranous and tumor-related aqueductal stenosis should be treated by endoscopic third ventriculostomy.

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