Repository logo
 
Loading...
Thumbnail Image
Publication

Endoscopic third ventriculostomy in the management of hydrocephalus: Outcome analysis of 168 consecutive procedures.

Use this identifier to reference this record.
Name:Description:Size:Format: 
Clin Neurol Neurosurg.pdf841.77 KBAdobe PDF Download

Advisor(s)

Abstract(s)

BACKGROUND: Endoscopic third ventriculostomy (ETV) is the treatment of choice for obstructive hydrocephalus, but the outcome is still controversial in terms of age and aetiology. METHODS: Between 1998 and 2011, 168 consecutive procedures were performed in 164 patients, primarily children (56%<18 years of age and 35%<2 years of age). The causes of obstructive hydrocephalus included tumoural pathology, Chiari malformation, congenital obstruction of the aqueduct, post-infectious and post-haemorrhagic membranes, and ventriculo-peritoneal shunt (VPS) malfunctions. Successful ETV was defined by the resolution of symptoms and the avoidance of a shunt. RESULTS: ETV was successful in 75.6% of patients, but 19% of the patients required VPS in the first month after ETV, and 5.4% required a VPS more than one month after ETV. Four patients were ultimately submitted for second ETVs. In this series, no major permanent morbidity or mortality was observed. CONCLUSIONS: ETV is a safe procedure and an effective treatment for obstructive hydrocephalus even following the dysfunction of previous VPSs and in children younger than two years.

Description

Keywords

Hydrocephalus Third Ventricle/surgery Ventriculostomy Hidrocefalia Terceiro Ventrículo/cirurgia Ventriculostomia

Citation

Clin Neurol Neurosurg. 2014;126C:130-136.

Research Projects

Organizational Units

Journal Issue