Endoscopic management of quadrigeminal XXXX .

@entity1 @entity1276 @entity428 @entity145 @entity1155
OBJECTIVE: Quadrigeminal cistern @entity145 are rare lesions, accounting for 5% to 10% of all intracranial @entity145 and 9% of all supratentorial localizations. We reviewed the @entity1 with quadrigeminal @entity145 (QAC) who were treated with neuroendoscopic intervention. MATERIALS AND METHODS: Seventeen @entity1 with QAC had been operated on between 2000 and 2007 in our institution. Four @entity1 had undergone shunting prior to neuroendoscopic surgery. There were nine @entity1 and seven @entity1 with age ranging from 7 days to 17 years (mean, 40 months). All @entity1 had @entity1276 . A wide ventriculocystostomy (VC) and endoscopic third ventriculostomy were performed by using rigid neuroendoscopes. An aqueductal stent was also placed in two of the @entity1 . Psychometric evaluation was administered postoperatively when possible. Follow-up of the @entity1 ranged from 6 to 96 months (mean, 51.8 months). RESULTS: Of the 17 @entity1 , 12 underwent endoscopic procedure as the primary surgery. Five @entity1 had been previously shunted. @entity1155 were the main symptom and sign in all @entity1 with QAC. Older @entity1 presented with the symptoms and signs of @entity428 . Of the eight @entity1 who were 6 months old or younger, only one did not need a ventriculo-peritoneal (VP) shunt. Endoscopic procedures were successful in all @entity1 older than 6 months of age (P=0.005). CONCLUSION: The @entity1 presenting in their infancy had a @entity1155 , and all @entity1 except for one, younger than 6 months of age, needed a VP shunt. Neuroendoscopic procedure is effective particularly in the @entity1 with QAC older than 6 months of age.
