Third ventriculostomy through the lamina terminalis for intracranial pressure monitoring after aneurysm surgery: technical note

Arquivos de Neuro-Psiquiatria

Jorge L. Kraemer¹  Pedro L. Gobbato¹  Yuri M. Andrade-souza¹ 

[1] ,Irmandade da Santa Casa de Misericórdia de Porto Alegre Hospital São José Porto Alegre RS ,Brasil

关键词: cerebral aneurysm;    ventricular drainage;    third ventricle;    intracranial pressure;    operative technique;    aneurisma cerebral;    drenagem ventricular;    terceiro ventrículo;    pressão intracraniana;    técnica operatória;   

DOI  :  10.1590/S0004-282X2002000600009

来源: SciELO

【 摘 要 】

OBJECTIVE: A new ventriculostomy technique through the lamina terminalis is described. This technique is applied mainly during aneurysm surgery at the acute stage. METHOD: Thirteen patients were operated on intracranial aneurysms and, during the procedure, had the lamina terminalis fenestrated. A ventricular catheter was inserted into the third ventricule, left in place and connected to an external drainage system for further intracranial pressure (ICP) monitoring and/or cerebrospinal fluid (CSF) drainage. RESULTS: ICP readings and CSF drainage were obtained in all cases. No complication was recorded. CONCLUSION: Third ventriculostomy through the lamina terminalis is a simple and easy technique that can be used as an alternative to conventional ventriculostomy. This procedure can be indicated in cases where the ventricule is not reached by means of another technique, and when the decision to perform ventriculostomy is made at the end of aneurysm surgery.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License