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.
CONCLUSIONS: 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.
方法:我们搜索了数据库Pubmed和Googlescholar,以找到所有报告截留TH和后续治疗病例的研究。此外,我们报告了两个示例性的内镜开窗术病例,并对我们的手术技术进行了分步描述.
结果:29项研究共67例患者纳入分析。平均年龄36.5岁(SD±21.9),男女比例为1.5。TH截留的最常见原因是肿瘤手术后的手术后瘢痕形成(n=30),最常报道的治疗方式是内镜下TH开窗术(n=14).我们观察到内窥镜开窗术的使用随着时间的推移而增加。
结论:被困TH是一种罕见的疾病,通常需要手术治疗。神经导航引导的内镜下将心室开窗入基底水箱似乎是安全的,高效,和无设备技术在过去几年中变得越来越重要。