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Related Experiment Videos

Traumatic basilar aneurysm after endoscopic third ventriculostomy: case report

M R McLaughlin1, J B Wahlig, A M Kaufmann

  • 1Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pennsylvania, USA.

Neurosurgery
|December 24, 1997
PubMed
Summary

Endoscopic third ventriculostomy for aqueductal stenosis can lead to rare but severe complications, including traumatic aneurysms. This case highlights potential risks associated with laser fenestration of the third ventricular floor.

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Area of Science:

  • Neurosurgery
  • Pediatric Neurosurgery
  • Endoscopic Neurosurgery

Background:

  • Aqueductal stenosis is a common cause of obstructive hydrocephalus in children.
  • Endoscopic third ventriculostomy (ETV) is a minimally invasive surgical option for hydrocephalus.
  • Laser fenestration of the third ventricular floor is an ETV technique.

Observation:

  • A 3-year-old girl with hydrocephalus due to aqueductal stenosis underwent ETV with laser fenestration.
  • The patient experienced a severe intraventricular hemorrhage during the procedure.
  • One month later, she developed a subarachnoid hemorrhage and a traumatic basilar tip aneurysm.

Findings:

  • Hemorrhagic complications following ETV are uncommon.
  • A traumatic basilar tip aneurysm after ETV has not been previously reported.

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  • Laser fenestration may elevate the risk of such aneurysms.

    • Implications:

    • Physicians should be aware of rare but serious hemorrhagic complications after ETV.
    • The formation of traumatic aneurysms post-ETV warrants further investigation.
    • Careful consideration of ETV techniques, including laser fenestration, is necessary.