Neuro-Endoscopic Management of Multiloculated Hydrocephalus

Abstract

The aim of this study is to evaluate the role of endoscopy in management of multiloculated hydrocephalus. PATIENTS AND METHODS: We reviewed 30 consecutive patients during the period from January 2012 to December 2015 with multiloculated hydrocephalus who underwent neuroendoscopic approach for treatment, in Sohag university Hospital. The patients' clinical outcomes, and complications were reported. RESULTS: There were 30patients (12male18 female).endoscopic septum pellucidum fenestration was done in 9 cases and endoscopic ventricular septal fenestration was done in 21 cases; The success rate was achieved in 25 cases (83.3%). The remaining 5 cases (16.7%) needed a redo the procedure due to the presence of residual compartments not opened and not drained by the existing shunts, no immediate or late postoperative complications and there was no mortality. CONCLUSION:Neuroendoscopic management for multiloculated hydrocephalus can restore communication between isolated intraventricular compartments transforming them into single cavity and one intraventricular catheter can be used , reduce the number of surgical procedures, and improving the quality of life of the patient.

Endoscopic treatment of complex multiloculated hydrocephalus in children, steps that may help to decrease revision rate

“…The low rate and severity of complications observed in our patients are in line with the previous studies which concluded that complications following endoscopic approach were usually minor and were mostly treated conservatively. [ 8 , 9 , 12 , 13 , 17 , 25 , 29 ]…”

“…Fadl et al . [ 13 ] stated that none of their 30 MLH patients who underwent endoscopic management suffered from intra- or postoperative complications.…”

“…The rate of redo surgeries widely varied among previous studies. A low rate of 16.7% (five patients) was reported by Fadl et al .,[ 13 ] but their sample size was small rendering underestimation of the true rate a possibility. Spennato et al .,[ 29 ] El-Ghandour,[ 8 ] Akbari et al .,[ 1 ] and Piyachon et al .…”