Endoscopic Third Ventriculostomy in Narrow Foramen of Monro

Medical Sciences

Author's: , Mohammed Maan Al-Salihi ² , Abdur Rahman ³ , A. H. M. Ataullah ⁴ , Sabrina Rahman ⁵ , Md Nazmul Huda Ridoy ⁶ , Karen Muñoz-Báez ⁷ and Md Moshiur Rahman ⁸

¹ Medical and Surgical Research Center, School of Medicine , University of Cartagena, Cartagena, Colombia

² College of Medicine , University of Baghdad, Baghdad, Iraq

³ HMO , Dhaka Medical College Hospital, Dhaka, Bangladesh

⁴ Medical Officer , Sher-E-Bangla Medical College Hospital, Barishal, Bangladesh

⁵ Department of Public Health , Independent University-Bangladesh, Dhaka, Bangladesh

⁶ Final year medical student , Jahurul Islam Medical College & Hospital, Bajitpur, Bangladesh

⁷ Colombian Clinical Research Group in Neurocritical Care , Jahurul Islam Medical College & Hospital, University of Cartagena, Cartagena, Colombia

⁸ Department of Neurosurgery , Holy Family Red Crescent Medical College, Dhaka, Bangladesh

Abstract

Study Objective: To learn how to do endoscopic third ventriculostomy in narrow foramen of Monro.

Design: Through right frontal burr hole endoscope was introduced and right foramen of Monro was identified, which was narrowed with membranous structures; ventriculoscope was introduced and third ventriculostomy was performed without injuring the surrounding vital structures.

Setting: Comfort Nursing Home, a private hospital in Dhaka, Bangladesh.

Subject/Audience: Neurosurgeons/Neurologists/Residents Intervention: Demonstration of endoscopic third ventriculostomy in narrow foramen of Monro and its steps were intervened.

Results: Avoidance of complications like intraoperative injury to the vital structures like mammillary bodies, basilar artery etc were achieved successfully.

Conclusion: The steps of endoscopic third ventriculostomy is well established. Prior anatomical concepts particularly identification of anatomical structures, surgeon's experience are key to success.