1. Management of entrapped temporal horn: Literature review and operative technique for endoscopic fenestration.
- Author
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Al Risi A, Mathon B, Touat M, Carpentier A, and Lefevre E
- Subjects
- Adult, Female, Humans, Male, Middle Aged, Temporal Lobe surgery, Temporal Lobe diagnostic imaging, Case Reports as Topic, Neuroendoscopy methods
- Abstract
Context: Entrapment of the temporal horn (TH) is rare condition that can lead to increased intracranial pressure, but there is no consensus on a standard treatment. The aim of this study was to conduct a systematic literature review of the reported cases of TH entrapment and describe our operative technique for endoscopic fenestrations of the lateral ventricle into the basal cisterns., Methods: We searched the databases Pubmed and Google scholar to find all studies reporting cases of entrapped TH and the subsequent treatment. Additionally, we report two illustrative cases of endoscopic fenestration with a step-by-step description of our surgical technique., Results: Twenty-nine studies with a total of 67 patients were included in the analysis. The mean age was 36.5 years (SD± 21.9), and the female-to-male ratio was 1.5. The most frequent cause of TH entrapment was post-surgical scarring after tumor surgery (n= 30), and the most commonly reported treatment modality was endoscopic fenestration of the TH (n = 14). We observed an increasing use of endoscopic fenestration over time., Conclusion: Entrapped TH is a rare condition often requiring surgical treatment. Neuronavigation-guided endoscopic fenestration of the ventricle into the basal cisterns appears to be a safe, efficient, and device-free technique that has gained importance over the past years., (Copyright © 2024 Elsevier B.V. All rights reserved.)
- Published
- 2024
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