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Stereotactic Insertion of an Ommaya Reservoir: Technical Note

Published online by Cambridge University Press:  18 September 2015

Michael W. McDermott ,
Samuel F. Ciricillo ,
Philip H. Gutin  and
Michael S.B. Edwards
Michael W. McDermott*
Affiliation:
Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California
Samuel F. Ciricillo
Affiliation:
Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California
Philip H. Gutin
Affiliation:
Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California
Michael S.B. Edwards
Affiliation:
Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California
*
Department of Neurological Surgery, c/o The Editorial Office, 1360 Ninth Avenue, Suite 210, San Francisco, California, USA 94122
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Abstract

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Background

Stereotactic insertion of catherters into deep-seated tumors or developmental cysts is easily accomplished, but connecting the catheter to an Ommaya reservoir while maintaining catheter position can be difficult. We describe a technique for easy placement of a catheter-Ommaya reservoir construct with one pass.

Methods

Standard stereotactic imaging is performed. The distance from the outer table of the skull to the target point is measured. A catheter-Ommaya reservoir construct is assembled to this length and directed to the target position with a standard Cosman-Robert-Wells (CRW) stereotactic frame.

Results

Use of this technique placed catheters into tumor or developmental cysts accurately and with no surgical complications in 12 patients.

Conclusions

This technique is simple, safe, reliable, and requires no special equipment. It avoids the risk of dislodging the catheter when it is being connected to the Ommaya reservoir, reducing the chances of cyst leakage and collapse.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 22 , Issue 3 , August 1995 , pp. 235 - 238
Copyright
Copyright © Canadian Neurological Sciences Federation 1995

References

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