Endoscopic third ventriculostomy

Yadav, Yad Ram; Parihar, Vijay; Pande, Sonjjay; Namdev, Hemant; Agarwal, Moneet

doi:10.4103/0976-3147.98222

Cited by 102 publications

(107 citation statements)

References 93 publications

(112 reference statements)

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“…Although ETV can be used in selected patients of all types of HCP, the success of ETV in obstructive HCP is better than that in communicating HCP. 4 Obstructive HCP occurs commonly due to congenital CAS, posterior third ventricle tumor, cerebellopontine angle tumor, and other posterior fossa tumor of obstructive variety. HCPs following cerebellar infarct, Dandy-Walker malformation, syringomyelia with or without Chiari's malformation, shunt malfunction, encephalocele, craniosynostosis, and intraventricular hematoma are usually of obstructive type.…”

Section: Discussionmentioning

confidence: 99%

“…When both the element of obstruction and the defect in the CSF absorption persist, it is complex HCP. 4,13 CAS is a common cause of obstructive (noncommunicating) HCP. It could be due to congenital stenosis, acquired idiopathic, postinfectious or posthemorrhagic, and stenosis secondary to tumor.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7][8][9][10] It is considered as a better alternative to shunt surgery in obstructive HCP. Though some authors advocate ETV in patients of all ages, [1][2][3]11 others showed that patients younger than 1 year have a higher failure rate for ETVs compared with older children. 12 Therefore, we present our experience of ETV in obstructive HCP caused by congenital cerebral aqueductal stenosis (CAS), comparing between the patients below six months and above.…”

Section: Introductionmentioning

confidence: 99%

“…Although there are pros and cons for each option, VP shunt techniques have high complication rate (20-80%). [1][2][3] Endoscopic third ventriculostomy (ETV) is well accepted for obstructive hydrocephalus of various etiologies. [4][5][6][7][8][9][10] It is considered as a better alternative to shunt surgery in obstructive HCP.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Endoscopic third ventriculostomy (ETV) is well accepted for obstructive hydrocephalus of various etiologies. [4][5][6][7][8][9][10] It is considered as a better alternative to shunt surgery in obstructive HCP. Though some authors advocate ETV in patients of all ages, [1][2][3]11 others showed that patients younger than 1 year have a higher failure rate for ETVs compared with older children.…”

Section: Introductionmentioning

confidence: 99%

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Result of Endoscopic Third Ventriculostomy for Hydrocephalus Caused by Cerebral Aqueductal Stenosis in Infant Patients

Chowdhury

Haque

Kawsar

et al. 2017

IJNS

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Background Endoscopic third ventriculostomy (ETV) is one of the important management options for hydrocephalus, especially obstructive hydrocephalus. The result of ETV in different age and etiology is quite variable according to the different authors. The study was carried out to assess the success rate of ETV as a treatment for this type of hydrocephalus in infant age group. Material and Methods The study was done prospectively on infants (age 12 months) admitted in the period from January 2009 to June 2013 suffering from obstructive hydrocephalus due to cerebral aqueductal stenosis (CAS). After making the diagnosis, we counseled the patient party about the probability of high failure rate of ETV in this age group and probable necessity of a second operation. With the informed consent, we performed ETV in these cases and followed up regularly in postoperative period. Control neuroimaging studies were done whenever needed (suspected failure of ETV and suspected stomal block). Results Total 17 infants were studied. Average follow-up was 18.7 months. Twelve infants were between the age group of six and under six months while five were above six months to one year old. Fourteen (82.35%) out of 17 patients showed overall clinical improvement. Clinical improvement was seen in two (66.6%) infants aged 2 months or younger, three (75%) aged 2 þ to 3 months, five (100%) aged 3 þ to 6 months, and four (80%) aged 6 þ months to 1 year. Two patients had bleeding during surgery. Three developed CSF leak through the burr hole. In one case (the patient's age was 2 months), the stoma was found blocked, and hydrocephalus returned 9 weeks after ETV. In two patients, in whom VP shunt was needed, "failed ETV" was obvious in early postoperative period. In this series, average ETV success score (ETVSS) was 52.35 (range: 40-70) and overall success rate was 82.35%. This indicates that ETVSS does not correlate with the outcome of ETV in infants with CAS. Conclusion Outcome of ETV for hydrocephalus from CAS in infant is quite good and ETVSS does not correlate with the outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Result of Endoscopic Third Ventriculostomy for Hydrocephalus Caused by Cerebral Aqueductal Stenosis in Infant Patients

Chowdhury

Haque

Kawsar

et al. 2017

IJNS

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Posttraumatic hydrocephalus: Recent advances and new therapeutic strategies

Sanker,

Kundu,

El Kassem

et al. 2023

Health Science Reports

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BackgroundHydrocephalus or ventriculomegaly is a condition brought on by an overabundance of cerebrospinal fluid (CSF) in the ventricular system. The major contributor to posttraumatic hydrocephalus (PTH) is traumatic brain injuries (TBIs), especially in individuals with occupations set in industrial settings. A variety of criteria have been employed for the diagnosis of PTH, including the combination of neurological symptoms like nerve deficits and headache, as well as an initial improvement followed by a worsened relapse of altered consciousness and neurological deterioration, which is detected by computed tomography‐brain imaging that reveals gradual ventriculomegaly.AimIn this article, we discuss and summarize briefly the current understandings and advancements in the management of PTH.MethodsThe available literature for this review was searched on various bibliographic databases using an individually verified, prespecified approach. The level of evidence of the included studies was considered as per the Centre for Evidence‐Based Medicine recommendations.ResultsThe commonly practiced current treatment modality involves shunting CSF but is often associated with complications and recurrence. The lack of a definitive management strategy for PTH warrants the utilization of novel and innovative modalities such as stem cell transplantations and antioxidative stress therapies.ConclusionOne of the worst complications of a TBI is PTH, which has a high morbidity and mortality rate. Even though there hasn't been a successful method in stopping PTH from happening, hemorrhage‐derived blood, and its metabolic by‐products, like iron, hemoglobin, free radicals, thrombin, and red blood cells, may be potential targets for PTH hindrance and management. Also, using stem cell transplantations in animal models and antioxidative stress therapies in future studies can lower PTH occurrence and improve its outcome. Moreover, the integration of clinical trials and theoretical knowledge should be encouraged in future research projects to establish effective and updated management guidelines for PTH.

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Surgical Technique of Endoscopic Third Ventriculostomy (ETV)

Dezena

2019

Endoscopic Third Ventriculostomy

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Endoscopic third ventriculostomy

Cited by 102 publications

References 93 publications

Result of Endoscopic Third Ventriculostomy for Hydrocephalus Caused by Cerebral Aqueductal Stenosis in Infant Patients

Result of Endoscopic Third Ventriculostomy for Hydrocephalus Caused by Cerebral Aqueductal Stenosis in Infant Patients

Posttraumatic hydrocephalus: Recent advances and new therapeutic strategies

Surgical Technique of Endoscopic Third Ventriculostomy (ETV)

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