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Adult idiopathic bilateral occlusion of foramen of Monro: Systematic review with illustrative case.

Clin Neurol Neurosurg

June 2024

Division of Neurosurgery, Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila, Philippines.

Background: Adult idiopathic occlusion of foramen of Monro (AIOFM) is a rare condition that results in hydrocephalus, and bilateral presentation is even rarer. Here we report a case of idiopathic bilateral stenosis of the foramen of Monro in an adult patient and performed a systematic literature review on the current treatment options and outcomes.

Methods: We performed a systematic review of SCOPUS, Science Direct, and PubMed databases in accordance with PRISMA guidelines.

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Article Synopsis
  • Isolated unilateral hydrocephalus (IUH) is caused by a blockage at the foramen of Monro, often due to various issues such as tumors or hemorrhage, and is best treated with neuroendoscopic techniques.
  • A rare complication of IUH following the removal of a colloid cyst was documented, showcasing the neuroendoscopic management approach, including necessary tools and surgical tips.
  • The procedure successfully alleviated hydrocephalus with no complications and led to significant imaging improvements, reinforcing the effectiveness of a single burr-hole method for such cases.
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Background: 5-aminolevulinic acid (5-ALA) photodynamic diagnosis (PDD) has enabled better identification of malignant tumor cells and real-time intraoperative guidance. Here, we report a reasonable procedure for 5-ALA-guided endoscopic biopsy with a violet light-emitting diode (LED) flashlight for deep-seated malignant gliomas.

Methods: A 63-year-old man presented with a headache and left upper homonymous quadrantanopia.

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As medical treatments continue to advance rapidly, minimally invasive surgery (MIS) has found extensive applications across various clinical procedures. Accurate identification of medical instruments plays a vital role in comprehending surgical situations and facilitating endoscopic image-guided surgical procedures. However, the endoscopic instrument detection poses a great challenge owing to the narrow operating space, with various interfering factors (e.

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The Roof of the 4th Ventricle Seen From Inside: Endoscopic Anatomic Illustration-A Case Series.

Oper Neurosurg (Hagerstown)

July 2023

Neurosurgical Unit, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, Spedali Civili, University of Brescia, Brescia, Italy.

Background: The anatomy of the roof of the fourth ventricle has been illustrated in many laboratory investigations, but in vivo reports of the roof anatomy and its variants are still lacking.

Objective: To describe the topographical anatomy of the roof of the fourth ventricle explored through a transaqueductal approach that overcomes cerebrospinal fluid depletion, displaying in vivo anatomic images possibly quite close to normal physiological conditions.

Methods: We critically reviewed the intraoperative video recordings of our 838 neuroendoscopic procedures, selecting 27 cases of transaqueductal navigation that provided good quality image details of the anatomy of the roof of the fourth ventricle.

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