Septostomy and foraminoplasty
https://www.neuroendo.net/wp-content/uploads/2017/11/Septostomy-and-foraminoplasty-1024x1024.jpg 1024 1024 Jonathan Roth Jonathan Roth http://www.neuroendo.net/wp-content/uploads/2017/11/avatar_user_8_1512035220-96x96.jpgSeptostomy and foraminoplasty
Diagnosis: Hydrocephalus due to atresia of Foramen of Monro
- 35-year-old woman
- Headaches for 1 month, papilloedema
- MR scan at presentation: hydrocephalus, large lateral ventricles, small third ventricle
- Endoscopic septostomy and foraminoplasty
EQUIPMENT USED
- Storz Oi Handy Pro Endoscope
SURGICAL TIPS
- Pre-coronal burr hole, placed at the level of the lateral canthus (more lateral than usual), for the septostomy
- Study the septal vein anatomy at the MR scans
- Aim at the upper half of the septum to avoid injury to the contralateral fornix, which is not visible from the ipsilateral side of approach
- Blunt perforation of the membrane covering the foramen of Monro with the balloon
Pre op
