Ventriculocisternostomy Suprachiasmatic

Suprachiasmal ventriculocisternostomy: Review and clinical application

Suprachiasmatic ventriculocisternostomy (v. suprachiasmatica) is a surgical procedure that is used to treat certain neurological conditions associated with impaired drainage of cerebral spinal fluid (CSF). In this article we will look at suprachiasmatic ventriculocisternostomy, its main aspects and clinical applications.

Suprachiasmal ventriculocisternostomy is a medical procedure that is aimed at creating communication between the ventricles of the brain and the cistern. It is accomplished by creating an opening in the floor of the third ventricle, which allows the free flow of cerebral spinal fluid from the ventricles into the cistern and thus facilitates its drainage.

The suprachiasmatic ventriculocisternostomy procedure may be recommended in the following cases:

1. Hydrocephalus: Suprachiasmatic ventriculocisternostomy can be used to treat hydrocephalus, a condition in which there is a buildup of excess CSM fluid in the ventricles of the brain. This can cause increased intracranial pressure and various neurological symptoms such as headaches, nausea, incoordination and changes in mental status.

2. Arnold-Chiari Malformation: This congenital anomaly is characterized by displacement of the brain stem and small brain down through the foramen magnum, which can lead to disruption of the normal drainage of CSM fluid. Suprachiasmal ventriculocisternostomy can help restore normal flow of CSM fluid and reduce symptoms associated with this disorder.

3. Other Conditions: Suprachiasmatic ventriculocisternostomy may also be used to treat other neurological conditions, such as brain tumors, cysts, and some forms of head trauma, that may impair the drainage of CSM fluid.

Suprachiasmatic ventriculocisternostomy is a surgical procedure that is usually performed in the operating room using neuronavigation technology and endoscopic equipment. The procedure can be performed under general anesthesia or local anesthesia with sedation.

Although suprachiasmatic ventriculocisternostomy is considered a relatively safe procedure, like any surgical procedure, it is not without potential risks and complications. Some of the possible complications include infection, bleeding, damage to surrounding tissue and nerves, and incomplete resolution of symptoms or recurrence of the disease.

After suprachiasmatic ventriculocisternostomy, patients may require observation and follow-up treatment. Regular postoperative consultations with a neurologist and testing such as neuroimaging and magnetic resonance imaging may be recommended to evaluate the effectiveness of the procedure and detect any complications.

In conclusion, suprachiasmatic ventriculocisternostomy is a surgical procedure used in neurology to treat conditions associated with impaired drainage of CSM fluid. It can be an effective method for improving symptoms of hydrocephalus, Arnold Chiari malformation, and other neurological disorders. However, before undergoing the procedure, it is necessary to carefully evaluate the patient, discuss the benefits and risks, and consult with a qualified neurologist or neurosurgeon.

Always seek medical advice from a specialist to learn more about your individual case and make informed treatment decisions.

Currently, there are three important problems in modern neurosurgery that require further improvement of surgical methods for resolving them:

1. Venous hypertension, characterized by thinning of the cerebral vein wall and valvular insufficiency due to inflammation or destruction of perivascular tissues, the development of atherosclerotic