Endoscopic Third Ventriculostomy

1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) 16) 17)

corpus callosum septum pellucidum fornix foramen of Monro anterior commissure massa intermedia choroid plexus lamina terminalis optic chiasm optic recess infundibular recess pituitary gland tuber cinereum mammillary body pineal gland posterior commissure cerebral aqueduct.

Basic Operative Technique

Determine entry point and enter ventricular system

 Finding and entering the Foramen of Munro

 Inspecting the floor of the third ventricle

 Perforating the floor of the third ventricle Enlarging the perforation (approx 5 mm) Inspecting the pre-pontine cistern