Document Detail


Endoscopic neurosurgery: report of the first five cases done in Malaysia using the Caemaert-Abdullah method.
MedLine Citation:
PMID:  9651914     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The first endoscopic procedure done in Malaysia using the Caemaert-Abdullah method is reported and the followup results showed an excellent neurosurgical outcome. A 16-year-old girl with an aqueduct stenosis was operated on using a free-hand, computer-assisted endoscopic method where a third ventriculostomy was done. This was the first case being carried out in the Hospital Universiti Sains Malaysia. The next two cases were a suprasellar pituitary cyst in an elderly man and a child with an obstructive hydrocephalus who was previously shunted which became infected. Both endoscopic procedures, extirpation of the cyst using a Nd:Yag laser and a third ventriculostomy, respectively, were done under general anaesthesia in the supine position. Follow-up revealed a transient diabetes insipidus in all three cases up to 48 hours after the operation which resolved spontaneously. The fourth case involved an endoscopic removal of retained ventricular catheter after rectal migration of a shunt in an eight-year-old girl with congenital hydrocephalus. The fifth was a free-hand endoscopy with perforation of multiple brain septae in a ten-month-old baby with hydrocephalus secondary to meningitis. The final outcomes for all the cases were favourable hence we conclude that endoscopic neurosurgery is a safe procedure and hope that more neurosurgeons will continue to use this method, especially for the management of intraventricular cyst and hydrocephalus and especially in South East Asia.
Authors:
A Farouk; J Abdullah
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Minimally invasive neurosurgery : MIN     Volume:  41     ISSN:  0946-7211     ISO Abbreviation:  Minim Invasive Neurosurg     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-09-29     Completed Date:  1998-09-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9440973     Medline TA:  Minim Invasive Neurosurg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  74-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Hospital Universiti Sains, Malaysia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Cerebral Ventricles / surgery*
Child
Cysts / surgery
Endoscopy / methods*
Female
Follow-Up Studies
Foreign Bodies / surgery
Humans
Hydrocephalus / surgery
Infant
Malaysia
Male
Middle Aged
Neurosurgical Procedures / methods*
Surgical Procedures, Minimally Invasive / methods
Ventriculoperitoneal Shunt / adverse effects,  methods
Ventriculostomy / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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