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Thecaloscopy part III: first clinical application.
- Source :
-
Minimally invasive neurosurgery : MIN [Minim Invasive Neurosurg] 2003 Apr; Vol. 46 (2), pp. 94-9. - Publication Year :
- 2003
-
Abstract
- Purpose: We have already dealt with the technical and anatomical basics for thecaloscopy. The first results of clinical application are presented and the indications for its diagnostic and therapeutic use are described. The aetiology of aseptic arachnitis and the term "Wide spinal canal syndrome" are discussed.<br />Patients and Methods: Twelve patients who fulfilled the criteria for entry to the study were selected and the criteria were chosen according to German medical and legal rules. All patients underwent an endoscopic inspection and, if necessary, therapeutic manipulation under general anaesthesia.<br />Results: In all cases the procedure was safely and successfully performed. The pathomorphology of the arachnoid was detected and endoscopically treated in almost all cases. Arachnoid cysts were successfully fenestrated and an intraspinal meningocoele treated with endoscopic assistance.<br />Conclusion: Thecaloscopy is a safe procedure if skilfully performed. It provides an opening for a wide range of new diagnostic and therapeutic options.
- Subjects :
- Adult
Aged
Arachnoid Cysts complications
Arachnoiditis etiology
Female
Humans
Low Back Pain etiology
Magnetic Resonance Imaging
Male
Meningocele complications
Middle Aged
Minimally Invasive Surgical Procedures methods
Outcome Assessment, Health Care
Prospective Studies
Arachnoid Cysts pathology
Arachnoid Cysts surgery
Arachnoiditis pathology
Arachnoiditis surgery
Cauda Equina abnormalities
Cauda Equina surgery
Endoscopy methods
Low Back Pain pathology
Low Back Pain surgery
Lumbosacral Region pathology
Lumbosacral Region surgery
Meningocele pathology
Meningocele surgery
Subarachnoid Space pathology
Subarachnoid Space surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0946-7211
- Volume :
- 46
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Minimally invasive neurosurgery : MIN
- Publication Type :
- Academic Journal
- Accession number :
- 12761680
- Full Text :
- https://doi.org/10.1055/s-2003-39341