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Revista Cubana de Medicina Militar

Print version ISSN 0138-6557

Abstract

GONZALEZ ORLANDI, Yvei et al. Application of the Intracranial Neuroendoscopy in the treatment of neurosurgical patients. Rev Cub Med Mil [online]. 2013, vol.42, n.2, pp.164-172. ISSN 0138-6557.

Introduction: since 2008, intracranial neuroendoscopic procedures are performed in "Dr. Carlos J. Finlay" Military Central Hospital. Objective: to show the safety and benefits of the intracranial neuroendoscopic treatment. Methods: a retrospective descriptive study was conducted in 18 patients suffering from diseases that required intracranial neuroendoscopic treatment. Etiologic profile, neuroendoscopic procedures preformed, surgical types and modalities applied and the complications detected in three patients were examined. Results: obstructive hydrocephalus was the main etiologic cause (93,75 %). A total of 24 actions were performed; of them, Fenestration Endoscopic premamilar of the floor of the third ventricle was the most used (62,5). Both actions were performed as emergency and ambulatory treatments (33,33 % and 11,11 % respectively). Conclusions: intracranial neuroendoscopy has an important function in the treatment of neurosurgical patients. Obstructive hydrocephalus was the main treated entity and the Fenestration Endoscopic premamilar of the floor of the third ventricle was the main procedure performed. It is a safe behavior, the complications are minimal and the treatment can be followed in an emergent form and even as ambulatory treatment in patients with cystic lesions.

Keywords : intracranial neuroendoscopy; neuroendoscopy; endoscopic ventriculostomy; hydrocephalus; intracranial cysts; results.

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