Endoscopic evidence of ventricular and cisternal inflammatory changes after intraoperative cysticercal rupture during endoscopic third-ventriculostomy removal.

Two patients who suffered recurrent hydrocephalus after cysticercal removal by means of endoscopic transventricular (ETV) approach are presented. Severe inflammatory lesions within the ventricular system and basal cisterns, with a patent third-ventriculostomy were demonstrated during a second endoscopic observation. Mandatory shunting with prolonged steroid therapy may be indicated after intraoperative cysticercal rupture after ETV removal, as showed by sequential endoscopic observations.

The impact of neuroendoscopy in the emergency setting--a retrospective study of imaging, intraoperative findings, and surgical outcome in 55 patients.

Objectives: To assess whether neuroendoscopy is an improved and effective diagnostic as well as therapeutic tool in the emergency setting compared with neuroimaging studies.

Patients And Methods: Sixty-two preoperative computed tomography (CT) and magnetic resonance (MR) scans from 55 adult patients admitted in the emergency ward were compared with equal number of neuroendoscopy observations by independent observers, who included cases of raised intracranial pressure related to hydrocephalus, shunt dysfunction, intracranial cysts, brain tumours, subdural effusions, etc.

Results: According to the results obtained, three groups were formed.