{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T11:06:21Z","timestamp":1775646381212,"version":"3.50.1"},"reference-count":34,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2009,1]]},"abstract":"<jats:p>Obstructive hydrocephalus due to giant basilar artery (BA) aneurysm is a rare finding, and endoscopic treatment has not been reported. Here the authors present their experience with endoscopic third ventriculostomy (ETV) in obstructive hydrocephalus due to giant BA aneurysm. Between December 2000 and March 2007, 3 patients (2 men and 1 woman; age range 32\u201380 years) underwent an ETV for the treatment of obstructive hydrocephalus caused by a giant BA aneurysm. All 3 patients presented with cephalgia, nausea, vomiting, and a variable decrease in consciousness. An obstructive hydrocephalus caused by a giant BA aneurysm was found in each case as the underlying pathological entity. Intraoperatively, a narrowing of the third ventricle by upward displacement of the tegmentum was found in all 3 patients. A standard ETV was performed and included an inspection of the prepontine cisterns. The endoscopic treatment was successful in all patients with respect to clinical signs and radiological ventricular enlargement. No complications were observed. In all, the endoscopic ventriculostomy was proven to be a successful treatment option in obstructive hydrocephalus even if it is caused by untreated giant BA aneurysm.<\/jats:p>","DOI":"10.3171\/2008.7.jns0887","type":"journal-article","created":{"date-parts":[[2008,11,7]],"date-time":"2008-11-07T16:48:10Z","timestamp":1226076490000},"page":"14-18","source":"Crossref","is-referenced-by-count":18,"title":["Endoscopic third ventriculostomy in obstructive hydrocephalus due to giant basilar artery aneurysm"],"prefix":"10.3171","volume":"110","author":[{"given":"Joachim M. K.","family":"Oertel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne","family":"Mondorf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael R.","family":"Gaab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-1100014","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1159\/000028616","article-title":"Basilar artery perforation as a complication of endoscopic third ventriculostomy","volume":"28","author":"Abtin","year":"1998"},{"key":"b2-1100014","series-title":"Comput Tomogr","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/0363-8235(79)90027-9","article-title":"Giant aneurysm of the anterior communicating artery simulating 3rd ventricular tumor","volume":"3","author":"Babu","year":"1979"},{"key":"b3-1100014","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1227\/01.NEU.0000228681.45125.E9","article-title":"Endoscopic third ventriculostomy for occlusive hydrocephalus due to cerebellar infarction","volume":"59","author":"Baldauf","year":"2006"},{"key":"b4-1100014","series-title":"J Am Geriatr Soc","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1111\/j.1532-5415.1985.tb04895.x","article-title":"Obstructive hydrocephalus secondary to giant cerebral aneurysm in the elderly: two case reports of functional improvement after ventricular shunting","volume":"33","author":"Borrie","year":"1985"},{"key":"b5-1100014","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.3171\/jns.2003.98.5.1032","article-title":"Endoscopic third ventriculostomy for shunt dysfunction in occlusive hydrocephalus: longterm follow up and review","volume":"98","author":"Boschert","year":"2003"},{"key":"b6-1100014","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1227\/00006123-198312000-00016","article-title":"Giant basilar artery aneurysm presenting as a third ventricular tumor","volume":"13","author":"Bose","year":"1983"},{"key":"b7-1100014","series-title":"Neurosurgery","first-page":"999","article-title":"Cerebral infarction after neuroendoscopic third ventriculostomy: case report","volume":"46","author":"Buxton","year":"2001"},{"key":"b8-1100014","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"924","DOI":"10.1227\/01.neu.0000303188.72425.24","article-title":"Risk of shunt-dependent hydrocephalus after occlusion of ruptured intracranial aneurysms by surgical clipping or endovascular coiling: a single-institution series and metaanalysis","volume":"61","author":"de Oliveira","year":"2007"},{"key":"b9-1100014","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"626","DOI":"10.3171\/jns.2004.100.4.0626","article-title":"Endoscopic third ventriculostomy in the management of obstructive hydrocephalus: an outcome analysis","volume":"100","author":"Feng","year":"2004"},{"key":"b10-1100014","series-title":"Childs Nerv Syst","first-page":"481","article-title":"A universal neuroendoscope: development, clinical experience, and perspectives","volume":"10","author":"Gaab","year":"1994"},{"key":"b11-1100014","series-title":"Skull Base","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1055\/s-2002-35751-1","article-title":"Giant fusiform basilar artery aneurysm causing obstructive hydrocephalus","volume":"12","author":"Gelal","year":"2002"},{"key":"b12-1100014","series-title":"Neurochirurgia (Stuttg)","first-page":"122","article-title":"[The foramen of Monro-blockage caused by a giant aneurysm of the basilar artery. A case report and review of the literature.]","volume":"33","author":"Goetz","year":"1990"},{"key":"b13-1100014","series-title":"Neurosurg Rev","first-page":"1","article-title":"Endoscopic third ventriculostomy for obstructive hydrocephalus","volume":"28","author":"Hellwig","year":"2005"},{"key":"b14-1100014","series-title":"J Clin Neurosci","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1054\/jocn.2000.0730","article-title":"Giant basilar bifurcation aneurysm presenting as a third ventricular mass with unilateral obstructive hydrocephalus: case report","volume":"8","author":"Hongo","year":"2001"},{"key":"b15-1100014","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1461","DOI":"10.1097\/00006123-200112000-00031","article-title":"Endovascular management of a basilar false aneurysm secondary to endoscopic third ventriculostomy: case report","volume":"49","author":"Horowitz","year":"2001"},{"key":"b16-1100014","series-title":"Kurume Med J","doi-asserted-by":"publisher","first-page":"21","DOI":"10.2739\/kurumemedj.40.21","article-title":"Acute obstructive hydrocephalus due to an unruptured basilar bifurcation aneurysm associated with bilateral internal carotid occlusion \u2013 a case report","volume":"40","author":"Ishibashi","year":"1993"},{"key":"b17-1100014","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"1138","DOI":"10.3171\/jns.2002.96.6.1138","article-title":"Neuroendoscopic identification of a basilar artery tip aneurysm in the third ventricle. Case illustration","volume":"96","author":"Ishihara","year":"2002"},{"key":"b18-1100014","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1227\/00006123-199001000-00012","article-title":"Endoscopic third ventriculostomy","volume":"26","author":"Jones","year":"1990"},{"key":"b19-1100014","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1007\/s00701-002-1063-x","article-title":"Endoscopic third ventriculostomy; early and late efficacy in relation to etiology","volume":"145","author":"Kwiek","year":"2003"},{"key":"b20-1100014","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1007\/s00701-004-0452-8","article-title":"Thrombosed basilar apex aneurysm presenting as a third ventricular mass and hydrocephalus","volume":"147","author":"Liu","year":"2005"},{"key":"b21-1100014","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1400","DOI":"10.1097\/00006123-199712000-00034","article-title":"Traumatic basilar aneurysm after endoscopic third ventriculostomy: case report","volume":"41","author":"McLaughlin","year":"1997"},{"key":"b22-1100014","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1016\/0090-3019(88)90011-0","article-title":"Obstructive hydrocephalus due to a giant aneurysm of the internal carotid bifurcation","volume":"29","author":"Morota","year":"1988"},{"key":"b23-1100014","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"928","DOI":"10.3171\/jns.2006.105.6.928","article-title":"The use of waterjet dissection in endoscopic neurosurgery. Technical note","volume":"105","author":"Oertel","year":"2006"},{"key":"b24-1100014","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"908","DOI":"10.3171\/JNS\/2008\/109\/11\/0908","article-title":"Ultrasonic aspiration in neuroendoscopy: first results with a new tool. Technical note","volume":"109","author":"Oertel","year":"2008"},{"key":"b25-1100014","series-title":"Neurosurg Q","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1097\/01.wnq.0000203022.31915.02","article-title":"Third ventriculostomy for treatment of hydrocephalus: results of 271 procedures","volume":"16","author":"Oertel","year":"2006"},{"key":"b26-1100014","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1016\/0090-3019(83)90080-0","article-title":"Obstructive hydrocephalus caused by a growing, giant aneurysm on the upper basilar artery","volume":"20","author":"Piek","year":"1983"},{"key":"b27-1100014","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"791","DOI":"10.3171\/jns.2001.95.5.0791","article-title":"Management of hydrocephalus in pediatric patients with posterior fossa tumors: the role of endoscopic third ventriculostomy","volume":"95","author":"Sainte-Rose","year":"2001"},{"issue":"2 Suppl","key":"b28-1100014","series-title":"Neurosurgery","first-page":"ONS44","article-title":"Endoscopic treatment of cerebrospinal fluid pathway obstructions","volume":"60","author":"Schroeder","year":"2007"},{"key":"b29-1100014","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"878","DOI":"10.1007\/s00381-004-0946-y","article-title":"Incidence of complications in neuroendoscopic surgery","volume":"20","author":"Schroeder","year":"2004"},{"key":"b30-1100014","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"153","DOI":"10.3171\/jns.1999.90.1.0153","article-title":"Fatal subarachnoid hemorrhage after endoscopic third ventriculostomy","volume":"90","author":"Schroeder","year":"1999"},{"key":"b31-1100014","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"299","DOI":"10.3171\/jns.1994.81.2.0299","article-title":"Giant posterior communicating artery aneurysm presenting as third ventricle mass with obstructive hydrocephalus. Case report","volume":"81","author":"Smith","year":"1994"},{"key":"b32-1100014","series-title":"Childs Nerv Syst","first-page":"248","article-title":"Complications of endoscopic neurosurgery","volume":"12","author":"Teo","year":"1996"},{"key":"b33-1100014","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1093\/neurosurgery\/46.1.104","article-title":"How effective is endoscopic third ventriculostomy in treating adult hydrocephalus caused by primary aqueductal stenosis?","volume":"46","author":"Tisell","year":"2000"},{"key":"b34-1100014","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"675","DOI":"10.3171\/jns.1999.91.4.0675","article-title":"Endosaccular aneurysm occlusion with Guglielmi detachable coils for obstructive hydrocephalus caused by a large basilar tip aneurysm. Case report","volume":"91","author":"Watanabe","year":"1999"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/110\/1\/article-p14.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/110\/1\/article-p14.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/110\/1\/article-p14.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,26]],"date-time":"2022-09-26T06:05:18Z","timestamp":1664172318000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/110\/1\/article-p14.xml"}},"subtitle":["Report of 3 cases"],"short-title":[],"issued":{"date-parts":[[2009,1]]},"references-count":34,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2008.7.jns0887","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,1]]}}}