作者: Nitu Das , Ashok Mahapatra , Raj Kumar
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摘要: A patient presented with recurrent episodes of generalized seizures for last 1 year followed by progressive holocranial headache, vomiting and visual blurring at the peak headache 2 months. On admission, was neurologically intact bilateral papilledema. Magnetic resonance imaging (MRI) brain showed cystic lesion left lateral ventricle hydrocephalus (Figs 1a 1b). Endoscopic complete cyst removal done under general anesthesia. The procedure performed using a zero degree rigid lens endoscope (Karl Storz 2.7 mm Neuro-Endoscope System, COMPANY). placed supine, no rotation head to maintain vertical orientation. Frontal precoronal burr-hole approach through side used. set in secured accompanying holder that attached operative table. Normal saline solution used gravity-fed irrigation. Once identified endoscope, an assessment made whether could be removed safely. blocking foramina Monro loosely adherent ependymal wall. With help irrigation mechanical pressure