Objective: This paper discusses indications for and the technique of endoscopic aqueductoplasty with stenting.
Methods: We review and summarize the clinical experience with endoscopic aqueductoplasty gained over the last 15 years on pediatric and adult patients.
Results: Endoscopic aqueductoplasty with stenting presents a safe procedure. In well selected patients, it provides a long-term, stable clinical course. Aqueductoplasty alone has a high reclosure rate and should be avoided.
Conclusions: Aqueductoplasty with stenting is the procedure of choice for the treatment of isolated fourth ventricle. Membranous and tumor-related aqueductal stenosis should be treated by endoscopic third ventriculostomy.
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| http://dx.doi.org/10.1016/j.wneu.2012.02.013 | DOI Listing |
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