Neuro-endoscopy is an advanced surgical technique that offers excellent outcomes while minimizing damage to surrounding structures and reducing complications. It involves performing surgery through a small incision, which is less invasive and results in faster recovery.
Common surgeries performed by this technique are obstructive hydrocephalus, intra-ventricular tumors, skull-base tumors, and spinal lesions.
Treatment of Obstructive Hydrocephalus:
Endoscopic third ventriculostomy is a very common procedure performed for obstructive hydrocephalus secondary to aqueductal stenosis, tectal plate lesions, or posterior fossa tumors as an alternative to shunt surgery. Congenital hydrocephalus is not satisfactorily treated because of the poor success rate in very young patients, but the outcome improves as the patient gets older. Other uses of neuroendoscopy include septostomy or septum pellucidotomy for isolated lateral ventricles. Aqueductoplasty for trapped ventricles.
Treatment of Cysts and Intraventricular Tumor:
These procedures include fenestration of arachnoid cysts, fenestration of
intraventricular cysts, tumor biopsy and pedunculated tumor removal. In this, just by doing a small hole in the cranium, the endoscope is introduced into the cyst, and fenestration is done to decompress and relieve the symptoms. Intraventricular cysts concomitantly have hydrocephalus, so such procedures alleviate mass effect and CSF diversion.
Periventricular and ventricular tumor biopsy are also possible with a high diagnostic yield of >90%. Endoscopic excision of Colloid Cyst is also possible using this technique.
Treatment Skull Base Tumors:
With bilateral endoscopic endonasal approaches, allow us to visualize tumors from the crista galli anteriorly to the C2 level posteriorly including the sellar and parasellar regions. Tumors from these regions can be easily accessed and operated with encouraging results and low morbidity. Pituitary tumors, craniopharyngiomas, clival chordomas, and planum sphenoidal meningiomas can be easily removed.
Skull base defects can be easily addressed and treated through this route. Csf rhinorrhea, which commonly occurs as a result of traumatic and iatrogenic disruption of the skull base and is secondary to inflammatory, neoplastic, and pseudotumor syndromes can be repaired.
Overall, neuro-endoscopy has revolutionized the field of neurosurgery, allowing for more precise and less invasive procedures to treat various conditions affecting the brain and spinal cord. We provide advanced neuro-endoscopy treatments for obstructive hydrocephalus, intraventricular tumors, and skull-base tumors.