Neuroradiological Correlation of the Lateral Third Periventricular, Pituitary Gland and Stalk, Pineal Gland, Cerebral Aqueduct, and Foramen Magendie and Luschka With Intraventricular Neuroendoscopic Images: A Case Series

TL;DR

This case series explores how neuroendoscopic images during surgery compare to neuroradiological images of brain structures in pediatric patients.

Contribution

The study provides a direct correlation between intraoperative neuroendoscopic views and radiological images of specific brain regions.

Findings

Intraoperative neuroendoscopic images differ from radiological images, requiring careful navigation.

The study highlights normal and abnormal findings in the ventricular system and surrounding structures.

Anatomical landmarks like the pituitary gland and cerebral aqueduct are crucial for safe neuroendoscopic navigation.

Abstract

Neuroendoscopy procedures in pediatrics have expanded beyond the endoscopic third ventriculostomy. As such, a direct and angled endoscope allows further visualization around the corner, capturing the surrounding anatomy. Intraoperative live images look different than radiological images. Hence, in this single institutional experience, we correlate neuroradiology images with intraoperative intraventricular endoscopic views of the third-fourth ventricle, pituitary, pineal gland, cerebral aqueduct, and foramen magendie and luschka. Our collective case series reveals a few interesting case scenarios of normal and abnormal findings during the procedure. Careful navigation of the neuroendoscope is crucial to prevent injury to the neurovascular bundle. A close relationship with normal anatomy from radiological imaging is necessary to prevent it from getting lost once inside the ventricular cavity.

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