Copyright © 2009 by the Congress of Neurological Surgeons Initially described by Schloffer (21) and Cushing (9) and subsequently popularized by Guiot (12) and Hardy and Wigser (14), the transsphenoidal approach to the sella now represents the preferred approach for removing pituitary adenomas. Traditionally performed with a microscope and a sublabial incision, the implementation of the endoscop...

Objective: In Sub-Saharan Africa, shunt dependence is a real threat for patients. For this reason, any method allowing shunt independence such as endoscopic third ventriculostomy should be promoted. The goal of this study was to show the advantages of neuroendoscopy in treating nontumor obstructive hydrocephalus in Cameroon. Methods: We retrospectively reviewed the cases of non-tumor obstructiv...

BACKGROUND Insertion of a ventriculoperitoneal shunt (VPS) for the treatment of hydrocephalus is one of the most common neurosurgical procedures in the UK, but failures caused by infection occur in approximately 8% of primary cases. VPS infection is associated with considerable morbidity and mortality and its management results in substantial cost to the health service. Antibiotic-impregnated (...

BACKGROUND Three-dimensional (3-D) endoscopy is a recent addition to augment the transsphenoidal surgical approach for anterior skull-base and parasellar lesions. We describe our experience implementing this technology into regular surgical practice. OBJECTIVE Retrospective review of clinical factors and outcomes. METHODS All patients were analyzed who had endoscopic endonasal parasellar op...

Introduction The three foramina of the fourth ventricle of the human brain were first described during the 19th century. The primary purpose of this article was to review the anatomy of the foramina of the human fourth ventricle, as well as the main clinical conditions related to pathology of these neurosurgically important structures. The existing literature regarding the gross and neurosurgic...

BACKGROUND Intraventricular haemorrhage (IVH) causes blockage of ventricular conduits leading to hydrocephalus, increased intracranial pressure (ICP), and a reduced level of consciousness. The current standard management of IVH is insertion of an external ventricular drainage (EVD) catheter. However, this procedure addresses only the problems of acute hydrocephalus and raised ICP. Endoscopic wa...

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Objective: Although standard microsurgical approach is the established techniques to many brain tumor surgery, however, endoscopic brain tumor surgery is becoming the technique of choice to some skull base tumors and intraventricular tumors. The purpose of this study was to evaluate the efficacy of brain tumor surgery by endoscopic approach. In this paper, we like to share our experience regard...