• Neurol. Med. Chir. (Tokyo) · Jan 2011

    Case Reports

    Endoscopic transaqueductal placement of a single-catheter cyst-ventriculoperitoneal shunt in a neonate with Dandy-Walker malformation-associated hydrocephalus: case report.

    • Ryoma Morigaki, Kyong-Hon Pooh, and Yoshinobu Nakagawa.
    • Department of Neurosurgery, National Hospital Organization, Kagawa Children's Hospital, Zentsuji, Kagawa, Japan. morigakiryoma@hotmail.com
    • Neurol. Med. Chir. (Tokyo). 2011 Jan 1; 51 (3): 256-9.

    AbstractA neonate with hydrocephalus associated with Dandy-Walker malformation was successfully treated with an endoscopic placement of a transaqueductal ventricular single catheter. The modified catheter was provided with additional fenestration on its proximal side to allow simultaneous drainage from both the supra- and infratentorial compartments. This technique is well known for isolated fourth ventricles, but has not been applied to hydrocephalus associated with Dandy-Walker malformation. The cyst-ventriculoperitoneal shunt effectively drained both compartments. The patient was doing well 18 months after the surgical procedure. Endoscopic transaqueductal shunt placement can be considered, especially in patients with aqueductal patency.

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