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Correspondence
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Volume 329:207-208 July 15, 1993 Number 3
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Endoscopic Laser Third Ventriculostomy

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 by Cohen, A. R.
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To the Editor: Dr. Cohen (Feb. 25 issue)1 briefly describes endoscopic laser third ventriculostomy for the relief of hydrocephalus due to stenosis of the aqueduct of Sylvius. I wonder whether this is the safest way to treat the condition. Ventriculocisternostomy, which was devised in 1938 by Torkildsen,2 bypasses the aqueduct by shunting fluid from the lateral ventricle to the cisterna magna. Although the implantation of a permanent catheter is required, no valve is needed, and both ends of the shunt are within the nervous system. Thus, the shunt is not subject to the complications of shunts to the right cardiac . . . [Full Text of this Article]

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