The authors describe their first clinical experiences in endoscopic third v
entriculostomy (ETV) with the original ultrasonic contact microprobe (UCM)
designed at the Department of Neurosurgery in Zagreb. The analysis includes
the clinical course of disease in eight patients submitted to surgery from
May to September 1999 (3 men and 5 women, from 14 to 61 years of age). Sur
gery was performed in patients with neurological symptoms of elevated intra
cranial pressure and neuroradiological evidence of non-communicating hydroc
ephalus caused by mesencephalic aqueduct stenosis. The perforation in the b
ase of the third brain ventricle made by the ultrasonic contact microprobe
was widened by a balloon catheter. The authors have come to conclusion that
the ETV when performed by contact ultrasonic microprobe is a small risk pr
ocedure in case of non-communicating hydrocephalus. For its small diameter
(1.6 mm) and simple handling the newly designed contact ultrasonic micropro
be is very suitable for use in neuroendoscopy as it enables fenestration of
the third brain ventricle with minimal thermal and ultrastructural damage
to the adjacent neurovascular structures. Further research will be focused
on defining indications for the use of the device in other neuroendoscopic
procedures as well.