Endoscopic Third Ventriculostomy
Treatment of Patients with Obstructive Hydrocephalus in Al-Anbar Governorate
Background: Endoscopic third ventriculostomy is the most commonly performed neuroendoscopic procedure used as an alternative to a cerebral shunt mainly to treat certain forms of obstructive hydrocephalus.
Objective: To analyze the safety, the efficacy and outcomes of endoscopic third ventriculostomy in the treatment of patients with obstructed hydrocephalus.
Methods: Endoscopic third ventriculostomy (ETV) was performed between January 2010 and October 2012 at Al-Ramadi Teaching Hospital on 20 patients with obstructive hydrocephalus (18 newly diagnosed hydrocephalus and two previously shunted (ventriculoperitonial shunt). Selection criteria of patients enrolled in this study included age more than one year and obstructive hydrocephalus due to any cause evidenced by pre operative CT and/ or MRI scan. Under general anesthesia, ETV is done in all patients by using 30-degree rigid telescope.
Results: No major complications occur during the procedures. Eighteen patients improved their symptoms immediately after ETV. One patient died on fourth post operative day. Three months after ETV, an overall clinical improvement was observed in 18 (90%) of 20 patients.
Conclusion: ETV is a minimal invasive, safe, effective and durable means of surgical option in cases of obstructive hydrocephalus that is caused by aqueduct stenosis and space occupying lesion.
Keywords: Endoscopic third ventriculostomy, Obstructive hydrocephalus.
Iraqi Medical Journal Vol. 63, No. 1, January 2017; p.1-5.
Copyright (c) 2017 Iraqi Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Share — copy and redistribute the material in any medium or format
Under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
NonCommercial — You may not use the material for commercial purposes.
NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.