Intracranial Migration of Bone Dust After Intraventricular Neuroendoscopy Complicating Acute Hydrocephalus and Removal of Bone Dust

Abstract

We propose not using autologous bone dust for closure of the burr holes after endoscopic intraventricular procedures; instead, alloplastic materials designed especially for burr hole closure may be used. However, our main recommendation is to use an external ventricular drainage, which is maintained closed but can be opened if necessary. In addition, lumbar puncture should be avoided in cases in which bone dust is used for the burr hole reconstruction without dural closure.