J Neurol Surg A Cent Eur Neurosurg 2014; 75(02): 151-154
DOI: 10.1055/s-0032-1320030
Technical Note
Georg Thieme Verlag KG Stuttgart · New York

The Adaptation of a Neuroendoscopic Sheath to a Leksell Stereotactic Frame to Make it Suitable for Approaching Small Ventricles: A Technical Note

Ryuheki Kitai
1   Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
,
Kotaro Nakano
2   Headquarters for Innovative Society-Academia Corporation, University of Fukui, Fukui, Japan
,
Norichika Hashimoto
1   Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
,
Hidetaka Arishima
1   Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
,
Takahiro Yamauchi
1   Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
,
Yoshifumi Higashino
1   Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
,
Hiroaki Takeuchi
1   Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
,
Ken-Ichiro Kikuta
1   Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
› Author Affiliations
Further Information

Publication History

22 February 2011

27 March 2012

Publication Date:
10 January 2013 (online)

Abstract

Efficient endoscopic surgery in cases involving small ventricles is difficult but possible. The authors describe a neuroendoscopic sheath that has been improved to make it suitable for use with a Leksell stereotactic frame, which enabled us to accurately insert a stereotactic needle into the small ventricle and provided an adequate surgical corridor. A biopsy was performed on a 6-year-old girl who had a primary central nervous system lymphoma in the pineal body without hydrocephalus.

 
  • References

  • 1 Chernov MF, Kamikawa S, Yamane F, Ishihara S, Kubo O, Hori T. Neurofiberscopic biopsy of tumors of the pineal region and posterior third ventricle: indications, technique, complications, and results. Neurosurgery 2006; 59 (2) 267-277 , discussion 267–277
  • 2 Endo H, Fujimura M, Kumabe T, Kanamori M, Watanabe M, Tominaga T. Application of high-definition flexible neuroendoscopic system to the treatment of primary pineal malignant B-cell lymphoma. Surg Neurol 2009; 71 (3) 344-348
  • 3 Souweidane MM. Endoscopic surgery for intraventricular brain tumors in patients without hydrocephalus. Neurosurgery 2005; 57 (4, Suppl): 312-318 , discussion 312–318
  • 4 Prat R, Galeano I. Endoscopic biopsy of foramen of Monro and third ventricle lesions guided by frameless neuronavigation: usefulness and limitations. Clin Neurol Neurosurg 2009; 111 (7) 579-582
  • 5 Apuzzo ML, Chandrasoma PT, Cohen D, Zee CS, Zelman V. Computed imaging stereotaxy: experience and perspective related to 500 procedures applied to brain masses. Neurosurgery 1987; 20 (6) 930-937
  • 6 Otsuki T, Jokura H, Yoshimoto T.. Stereotactic guiding tube for open-system endoscopy: a new approach for the stereotactic endoscopic resection of intra-axial brain tumors. Neurosurgery 1990; 27 (2) 326-330
  • 7 Ebina K, Andoh A, Takahashi T, Iwabuchi T. Development and clinical usefulness of a new neuroendoscope system for CT-guided stereotactic brain surgery. Neurol Med Chir (Tokyo) 1990; 30 (6) 401-407
  • 8 Hellwig D, Bauer BL. Endoscopic procedures in stereotactic neurosurgery. Acta Neurochir Suppl (Wien) 1991; 52: 30-32
  • 9 Fritsch M, Manwaring KH. Endoscopic treatment of brain abscess in children. Minim Invasive Neurosurg 1997; 40 (3) 103-106
  • 10 Oi S, Samii A, Samii M. Frameless free-hand maneuvering of a small-diameter rigid-rod neuroendoscope with a working channel used during high-resolution imaging. Technical note. J Neurosurg 2005; 102 (1, Suppl): 113-118
  • 11 Owen CM, Linskey ME. Frame-based stereotaxy in a frameless era: current capabilities, relative role, and the positive- and negative predictive values of blood through the needle. J Neurooncol 2009; 93 (1) 139-149
  • 12 Grunert P, Mäurer J, Müller-Forell W. Accuracy of stereotactic coordinate transformation using a localisation frame and computed tomographic imaging. Part I. Influence of the mathematical and physical properties of the CT on the image of the rods of the localisation frame and the determination of their centres. Neurosurg Rev 1999; 22 (4) 173-187
  • 13 Walton L, Hampshire A, Forster DM, Kemeny AA. A phantom study to assess the accuracy of stereotactic localization, using T1-weighted magnetic resonance imaging with the Leksell stereotactic system. Neurosurgery 1996; 38 (1) 170-176 , discussion 176–178
  • 14 Grunert P, Darabi K, Espinosa J, Filippi R. Computer-aided navigation in neurosurgery. Neurosurg Rev 2003; 26 (2) 73-99 , discussion 100–101
  • 15 Dorward NL, Paleologos TS, Alberti O, Thomas DG. The advantages of frameless stereotactic biopsy over frame-based biopsy. Br J Neurosurg 2002; 16 (2) 110-118
  • 16 Hayashi N, Hamada H, Umemura K , et al. Transparent endoscopic sheath and rigid-rod endoscope used in endoscopic third ventriculostomy for hydrocephalus in the presence of deformed ventricular anatomy. J Neurosurg 2006; 104 (5 Suppl Pediatrics): 321-325
  • 17 Kubo S, Inui T, Hasegawa H, Ohta T, Tominaga S, Yoshimine T. A newly designed disposable introducer sheath for a ventricular fiberscope. Minim Invasive Neurosurg 2004; 47 (2) 124-126