Skip to main content

Advertisement

SpringerLink
Log in

Endo-neuro-sonography: first clinical series (52 cases)

  • Invited Paper
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Objective

A sono catheter for transendoscopic imaging was applied in neurosurgery for the first time in 52 patients with a broad variety of lesions.

Methods

A transendoscopic sono catheter (Aloka Deutschland GmbH, Düsseldorf, Germany) with a diameter of 1.9 mm (6F) was used and introduced into the working canal of an endoscope. The image produced by the probe is a 360° scan ("brain radar") displayed on a monitor, on which some parameters can be varied to get the best view of the different anatomical structures.

Results

In 39 patients intraoperative imaging was the main reason for investigation and in 13 patients neuronavigation was the focus of interest. In 18 cases of tumor resection control targeting a visualized remnant was necessary. There are limitations and artifacts, which should reveal themselves in laboratory and clinical experience.

Conclusion

In this small series, endo-neuro-sonography proved to make neuroendoscopy safer and easier by online and real-time imaging with high resolution.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.
Fig. 6.

Similar content being viewed by others

References

  1. Caemaert J, Abdullha J, Calliauw L, Carton D, Dhooge C, Van Coster R (1992) Endoscopic treatment of suprasellar arachnoid cysts. Acta Neurochir 119:68–73

    CAS  Google Scholar 

  2. Froelich J, Bien S, Hoppe M, Eggers F, Klose KJ (1996) An intracerebral sonographic catheter as an adjunct to stereotactic guided endoscopic procedure. Minim Invasive Neurosurg 39:9

    Google Scholar 

  3. Fukuhara T, Voster SJ, Luciano MG (2000) Risk factors for failure of endoscopic third ventriculostomy for obstructive hydrocephalus. Neurosurgery 46:1100

    CAS  PubMed  Google Scholar 

  4. Handler MH, Abbott R, Lee M (1994) A near-fatal complication of endoscopic third ventriculostomy: case report. Neurosurgery 35:525–527

    CAS  PubMed  Google Scholar 

  5. Hopf N, Resch KDM, Ringel K, Perneczky A (1998) Endoscopic management of intracranial arachnoid cysts. In: Hellwig D, Bauer LB (eds) Minimally invasive techniques for neurosurgery. Springer, Berlin Heidelberg New York

  6. Kulkarni AV, Drake JM, Armstrong DC, Dirks PB (2000) Imaging correlates of endoscopic third ventriculostomy. J Neurosurg 92:915–919

    CAS  PubMed  Google Scholar 

  7. Kelly PJ (2000) Comment on: Paleologos TS, Wadley JP, Kitchen ND, Thomas GGT (2000) Clinical utility and cost-effectiveness of intracranial image-guided craniotomy: clinical comparison between conventional and image-guided meningioma surgery. Neurosurgery 47:40–48

    PubMed  Google Scholar 

  8. Levy ML (1998) Virtual endoscopic simulations in neurosurgery: technical considerations and methodology. Special editorial comment. Neurosurgery 43:538–548

    Google Scholar 

  9. Lowry DW, Lowry DLB, Berga SL, Adelsen PD, Roberts MM (1996) Secondary amenorrhea due to hydrocephalus treated with endoscopic ventriculocisternostomy. J Neurosurg 85:1148–1152

    CAS  PubMed  Google Scholar 

  10. Maciunas RJ (2000) Comment on: Paleologos TS, Wadley JP, Kitchen ND, Thomas GGT (2000) Clinical utility and cost-effectiveness of intracranial image-guided craniotomy: clinical comparison between conventional and image-guided meningioma surgery. Neurosurgery 47:40–48

    PubMed  Google Scholar 

  11. McLaughlin MR, Wahlig JB, Kaufmann AM, Albright AL (1997) Traumatic basilar aneurysm after endoscopic third ventriculostomy. Case report. Neurosurgery 41:1400–1404

    CAS  PubMed  Google Scholar 

  12. Perneczky A, Fries G (1998) Endoscope assisted brain surgery: evolution, basic concepts, and current technique. Neurosurgery 42:219–225

    CAS  PubMed  Google Scholar 

  13. Perneczky A, Tschabitscher M, Resch KDM (1993) Endoscopic anatomy for neurosurgery (atlas/video). Thieme, Stuttgart

  14. Reddy K, Fewer HD, West M, Hill NC (1989) Slit ventricle syndrome with aqueduct stenosis: third ventriculostomy as a definitive treatment. Neurosurgery 23:756–759

    Google Scholar 

  15. Resch KDM, Perneczky A (1997) Endo-neuro-sonography: anatomical aspects of the basal cisterns. Minim Invasive Ther Allied Technol 6:332–339

    Google Scholar 

  16. Resch KDM, Perneczky A (1998) Endo-neuro-sonography: basics and current use. In: Hellwig D, Bauer BL (eds) Minimally invasive techniques for neurosurgery. Springer, Berlin Heidelberg New York, pp 21–31

  17. Resch KDM, Reisch R (1997) Endo-neuro-sonography: anatomical aspects of the ventricles. Minim Invasive Neurosurg 1:2–7

    Google Scholar 

  18. Resch KDM, Reisch R, Hertel F, Perneczky A (1996) Endo-Neuro-Sonographie: eine neue Bildgebung in der Neurochirurgie. Endoskopie Heute 2:152–157

    Google Scholar 

  19. Resch KDM, Hopf N, Kessel G, Perneczky A (1997) Endo-neuro-sonography: new imaging technique in neurosurgery. 11th International Congress of Neurological Surgery, Amsterdam Proceedings. Monduzzi, Bologna, pp 1969–1974

  20. Resch KDM, Perneczky A, Schwarz M, Voth D (1997) Endo-neuro-sonography: principles and 3D technique. Childs Nerv Syst 13:616–621

    Article  CAS  PubMed  Google Scholar 

  21. Rieger A, Rainov NG, Sanchin L, Schopp G, Burkert W (1996) Ultrasound-guided endoscopic fenestration of the third ventricular floor for non-communicating hydrocephalus. Minim Invasive Neurosurg 39:17–20

    CAS  PubMed  Google Scholar 

  22. Schroeder HWS, Gaab MR (1998) Endoscopic management of intracranial arachnoid cysts. In: Hellwig D, Bauer LB (eds) Minimally invasive techniques for neurosurgery. Springer, Berlin Heidelberg New York

  23. Schroeder HWS, Warzok RW, Assaf JA, Gaab MR (1999) Fatal subarachnoidal hemorrhage after endoscopic third ventriculostomy. Case report. J Neurosurg 90:153–155

    CAS  PubMed  Google Scholar 

  24. Shekhar LN (2000) Comment on: Paleologos TS, Wadley JP, Kitchen ND, Thomas GGT (2000) Clinical utility and cost-effectiveness of intracranial image-guided craniotomy: clinical comparison between conventional and image-guided meningioma surgery. Neurosurgery 47:40–48

    PubMed  Google Scholar 

  25. Taniguchi M, Takimoto H, Yoshimine T, Shimada N, Miyao Y, Hirata M, Maruno M, Kato A, Kohmura E, Hayakawa T (1999) Application of rigid endoscope to the microsurgical management of 54 cerebral aneurysms: results in 48 patients. J Neurosurg 91:231–237

    CAS  PubMed  Google Scholar 

  26. Tisell M, Almström O, Stephensen H, Tullberg M, Wikkelsö C (2000) How effective is endoscopic third ventriculostomy in treating adult hydrocephalus caused by primary aqueductal stenosis? Neurosurgery 46:104–109

    CAS  PubMed  Google Scholar 

  27. Tronnier V, Staubert A, Wirtz R, Knauth M, Bonsanto M, Kunze S (1999) MRI-guided brain biopsies using 0.2 Tesla open magnet. Minim Invasive Neurosurg 42:118–122

    CAS  PubMed  Google Scholar 

  28. Wirtz CR, Tronnier VM, Bonsanto MM, Knauth M, Staubert A, Kunze S (1997) Image-guided neurosurgery with intraoperative MPI: updated frameless stereotaxy and radicality control. Stereotact Funct Neurosurg 68:39–43

    CAS  PubMed  Google Scholar 

  29. Yasargil MG (1984) Microneurosurgery, vol 1. Thieme, Stuttgart

  30. Yasargil MG (1984) Microneurosurgery, vol 2. Thieme, Stuttgart

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, University of Greifswald, Sauerbruchstrasse 1, 17487 , Greifswald, Germany

    Klaus D. M. Resch

Authors
  1. Klaus D. M. Resch
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Klaus D. M. Resch.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Resch, K.D.M. Endo-neuro-sonography: first clinical series (52 cases). Childs Nerv Syst 19, 137–144 (2003). https://doi.org/10.1007/s00381-003-0717-1

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-003-0717-1

Keywords

Search

Navigation