Publications

Endoscopic trans-Magendie foramen biopsy of the superior medullary velum: Technical note  (2023)

Authors:
Feletti, Alberto; Vernile, Bruno; Testa, Mattia; Scarpelli, Mauro; Bonetti, Bruno; Sala, Francesco
Title:
Endoscopic trans-Magendie foramen biopsy of the superior medullary velum: Technical note
Year:
2023
Type of item:
Articolo in Rivista
Tipologia ANVUR:
Articolo su rivista
Language:
Inglese
Format:
A Stampa
Referee:
Name of journal:
JOURNAL OF CLINICAL NEUROSCIENCE
ISSN of journal:
0967-5868
N° Volume:
117
Page numbers:
11-14
Keyword:
Biopsy; Endoscopy; Flexible endoscope; Fourth ventricle; Superior medullary velum; trans-Magendie
Short description of contents:
Background: Surgery of the fourth ventricle is challenging due to the presence of several surrounding delicate structures. Traditional approaches do not offer an easy visualization of these areas, especially those on the roof. Thanks to the most recent developments in neurosurgical endoscopy, it is possible to access the fourth ventricle via physiological pathways, avoiding unnecessary stress or damage to the nervous and vascular structures. Methods: We present the case of a patient with a lesion at the lingula-superior medullary velum, and an history of surgically resected lung and pancreatic adenocarcinomas. An endoscopic biopsy of the lesion through the foramen of Magendie was performed. The few reports on this endoscopic approach were also critically reviewed. Results: The retrograde endoscopic exploration through a suboccipital, trans-Magendie foramen approach using a flexible endoscope allowed the clear visualization of the superior medullary velum and the possibility to obtain diagnostic biopsies of the lesion with a minimally invasive technique. Conclusions: The trans-Magendie navigation with a flexible endoscope is a safe and elegant technique to approach lesions located in any point of the fourth ventricle, particularly in its rostral portion.
Web page:
https://doi.org/10.1016/j.jocn.2023.09.002
Product ID:
135726
Handle IRIS:
11562/1109470
Last Modified:
November 11, 2023
Bibliographic citation:
Feletti, Alberto; Vernile, Bruno; Testa, Mattia; Scarpelli, Mauro; Bonetti, Bruno; Sala, Francesco, Endoscopic trans-Magendie foramen biopsy of the superior medullary velum: Technical note «JOURNAL OF CLINICAL NEUROSCIENCE» , vol. 1172023pp. 11-14

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