Neuroendoscopy for Intraventricular Tumor Resection

Abstract

n recent decades, the endoscope has become an increasingly important tool in the armamentarium of the neurosurI geon. In pediatrics in particular, intraventricular endoscopy has become a routine part of neurosurgical practice and training. Improvements in image quality, ergonomics of endoscope use, neuronavigation, and a host of other technical factors have contributed to an ever-expanding range of indications for endoscopic treatment of intraventricular pathology. In addition, based in part of the remarkable success of endoscopic third ventriculostomy (ETV)/choroid plexus cauterization in treating hydrocephalus in Uganda, North American centers are beginning to expand the use of endoscopic treatment for hydrocephalus as well. The natural consequence of these developments is increasing familiarity of pediatric neurosurgeons with using the endoscope and increasing comfort in using the endoscope for more complex undertakings, particularly the resection of intraventricular tumors. There are several important factors, however, that must be considered to maximize the chances of successful intraventricular neuroendoscopy.