91 79 2673 0251


Dr. Parimal Tripathi

M.S., M.Ch (Neurosurgery) F.R.C.S. (S.N.)

 

Dr. Ketan Patel

M.S., M.Ch (Neurosurgery)

Neuroendoscopy

Neuroendoscopy uses small telescopes and high resolution video cameras to look into the skull, brain and spine. Working with these endoscopes, it is now possible to perform many microsurgical operations.

 

This minimally invasive neurosurgery has the distinct advantages of a small incision site and minimal trauma to the brain or spinal cord, resulting in a shorter hospital stay for patients and a quicker return to normal activities. In some instances, the surgery is substantially shorter than traditional surgical approaches, and in many cases hospitalization and recovery is shortened.

In selected cases, laser energy is used for tumor or cyst surgery.

Disorders treatable using Neuroendoscopy:

• Hydrocephalus

o Third ventriculostomy
o Aqueductoplasty
o Compartmentalized hydrocephalus
o Septum pellucidotomy
o Multicompartment hydrocephalus
o Ventricular catheter placement

• Colloid cyst removal
• Arachnoid cyst fenestration
• Thoracic and lumbar disc removal
• Endoscope-assisted surgery

o Pituitary tumor resection o Skull base tumor biopsy
o Cerebral aneurysms
o Microvascular decompression
o Acoustic neuromas



Hydrocephalus
• What is it?
• Cephalus = head and hydro = water.
• Abnormal increase in the amount of CSF in the ventricles leading to ventricular dilatation and rise in ICP. This is due imbalance between CSF   production and absorption.

• The first ETV was done in yr 2000 at Karnavati hospital in a 22 yr girl. A cystoscope was used and she followed for a yr. did extremely well.
• Two patients had arachnoid cyst in the 3rd ventricle.
• Total no ETV done approx 60 -70.
• About 20% needed shunting post ETV.
• 10% had small IVH but no mortality