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- W1517524336 abstract "The fundamental aim of the chapter is to create awareness in the general medical community about the benefits of neuroendoscopy imaging for prompt and effective diagnosis and treatment of lesions within or adjacent to fluid-filled intracranial cavities. Neuroendoscopy is a surgical diagnostic and therapeutic modality that has suffered an oscillating course in history, regarding its indications and applications. At present, it enjoys another thrust of popularity, which may be evident by the increasing number of publications and academic events world-wide related to this discipline. It has been evolving continuously, allowing for new indications, applications, and results. Neuroendoscopy is not a novel technique. According to a large number of articles and books, the application of lenses to observe internal parts of the body without a wide exposure, was initiated in the 19th century, and such technology was soon applied to the intracranial space. Very primitive equipment was used to explore the ventricular system and to excise the choroid plexus. Since the beginning of this new technology, it has suffered continuous modifications that have improved optical quality and surgical capability, resulting in better surgical outcome (1). As a typical example of a minimally invasive neurosurgical technique, neuroendoscopy has led to improvement in diagnosis, therapy, and prognosis in many intracranial lesions. Practically all intracranial compartments may be reached with an endoscope, whether it is rigid or flexible, and indications have increased dramatically. It is now possible to diagnose and treat through direct observation intraventricular, as well as subarchnoid and parenchymal lesions. Hoping to avoid a shunt placement and its complications, third-ventriculostomies were initially adopted as promising procedures for most cases of hydrocephalus. Although it has not been associated with the postoperative results that were hoped for, it has today very clear indications. Hypertensive and obstructive hydrocephalus due to different pathologies in the cerebral aqueduct, the posterior part of the third ventricle, or the fourth ventricle, may be some of the ideal cases for a third-ventriculostomy. Although some factors may vary when performing a third ventriculostomy, such as early age, a final word has not been said in this regard, since the controversy continues. Shunt systems, nevertheless, continue to be an important part of the instruments needed in the treatment of hydrocephalus. Congenital cysts in or adjacent to the ventricular system acting as space occupying lesions and hydrocephalus may be another clear indication for endoscopic exploration and cavity communication, sometimes requiring a shunt system. Although not as frequent as the" @default.
- W1517524336 created "2016-06-24" @default.
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- W1517524336 date "2012-02-17" @default.
- W1517524336 modified "2023-10-01" @default.
- W1517524336 title "Endoscopic Intracranial Imaging" @default.
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- W1517524336 doi "https://doi.org/10.5772/23848" @default.
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