Factors affecting surgical outcome of endoscopic third ventriculostomy in congenital hydrocephalus

2014 ◽  
Vol 21 (9) ◽  
pp. 1483-1489 ◽  
Author(s):  
Ajay Bisht ◽  
Ashish Suri ◽  
Sumit Bansal ◽  
P. Sarat Chandra ◽  
Rajinder Kumar ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Endoscopic Third Ventriculostomy ◽  
Congenital Hydrocephalus ◽  
Third Ventriculostomy ◽  
Factors Affecting

scholarly journals Idiopathic Normal Pressure Hydrocephalus: Surgical Outcome of Endoscopic Third Ventriculostomy Comparing VP Shunt

2020 ◽  
pp. 54-58
Author(s):  
Md. Moshiur Rahman ◽  
K. M. Ziaur Rahman
Keyword(s):  
Normal Pressure Hydrocephalus ◽  
Surgical Outcome ◽  
Endoscopic Third Ventriculostomy ◽  
Scoring Systems ◽  
Normal Pressure ◽  
Third Ventriculostomy ◽  
Arachnoid Granulation ◽  
Vp Shunt ◽  
Csf Absorption ◽  
Good Success Rate

Background: Normal-pressure hydrocephalus (NPH) affects the older people and the presentations are gait disturbance, incontinence and dementia. The reason is still unknown and there is increased CSF volume causing pressure to the periventricular brain causing the symptoms where there is no evidence of absorption failure or obstruction of the CSF pathway. Aims: The main objective of this study is to compare the surgical outcome of endoscopic third ventriculostomy (ETV) and VP shunt (VPS) in NPH. Methodology: A total of 24 patients were included in the study where 12 patients underwent ETV and 12 patients VPS. Patients having a definite cause of hydrocephalus and multiple co-morbid diseases were excluded from the study. Various Scoring systems were studied to see the efficiency of ETV. Results: About 60% of patients were successfully recovered. 40% needed to revision surgery either VP shunt or LP shunt. Some scales showed higher effieciency of ETV. Conclusion: ETV in NPH is a safe and effective procedure. Whether the CSF absorption is hampered at arachnoid granulation is doubtful for failure cases. ETV is a short procedure with a good success rate in selected patients.

scholarly journals Early surgical outcome of endoscopic third ventriculostomy in the management of obstructive hydrocephalus: A randomized control trial

2018 ◽  
Vol 13 (4) ◽  
pp. 1001 ◽  
Author(s):  
MohammadMahfuzur Rahman ◽  
MohammadAbdus Salam ◽  
Kalim Uddin ◽  
MohammadMizanur Rahman ◽  
MohammadRafiqul Islam ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Randomized Control Trial ◽  
Endoscopic Third Ventriculostomy ◽  
Obstructive Hydrocephalus ◽  
Third Ventriculostomy ◽  
Randomized Control

scholarly journals Effects of ETV and VPS on cognitive impairment in infants with congenital hydrocephalus: A retrospective study

2021 ◽  
Vol 19 ◽  
pp. 205873921986609
Author(s):  
Wen-Yu Ji ◽  
Ning Cai ◽  
Ke-bai Tu ◽  
Yong-Xin Wang ◽  
Yan-Dong Fan ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Retrospective Study ◽  
Cognitive Function ◽  
Ventriculoperitoneal Shunt ◽  
Endoscopic Third Ventriculostomy ◽  
Clinical Symptoms ◽  
Congenital Hydrocephalus ◽  
Control Group ◽  
Third Ventriculostomy ◽  
Developmental Quotient

This study aims to investigate the postoperative cognitive function changes of infants who underwent endoscopic third ventriculostomy (ETV) or ventriculoperitoneal shunt (VPS) for the treatment of congenital hydrocephalus. Data of 70 hydrocephalus infants and children were retrospectively analyzed. Among these patients, 20 patients underwent ETV, 27 patients underwent VPS, and 23 patients did not undergo any operation (controls). All patients were routinely cared after discharge. The Gecell Developmental Diagnostic Scale was filled for all patients at 2 weeks, 2 months, and 6 months after diagnosis. A total of 20 patients in the ETV group were followed up for 6 months. Among these patients, the clinical symptoms of 18 patients significantly improved. Results determined at 6 months after surgery in the ETV group was statistically significant, compared with the control group ( P < 0.05). Results determined at 2 and 6 months after surgery in the VPS group were statistically significant, compared with the control group ( P < 0.05). Developmental quotient (DQ) values in these two operation groups increased after the operation ( P < 0.01), and the differences were statistically significant. ETV and VPS can improve the cognitive function of infants with hydrocephalus. Improvement of cognitive function by VPS is more significant for infants.

Fourth Ventricle Outlet Obstruction and Diverticular Enlargement of Luschka Foramina in a Child with Down Syndrome

2020 ◽  
pp. 1-4
Author(s):  
Valentina Orlando ◽  
Pietro Spennato ◽  
Maria De Liso ◽  
Vincenzo Trischitta ◽  
Alessia Imperato ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Fourth Ventricle ◽  
Endoscopic Third Ventriculostomy ◽  
Obstructive Hydrocephalus ◽  
Radiological Finding ◽  
Outlet Obstruction ◽  
Third Ventriculostomy ◽  
Viable Option ◽  
Case Presentation

<b><i>Introduction:</i></b> Hydrocephalus is not usually part of Down syndrome (DS). Fourth ventricle outlet obstruction is a rare cause of obstructive hydrocephalus, difficult to diagnose, because tetraventricular dilatation may suggest a communicant/nonobstructive hydrocephalus. <b><i>Case Presentation:</i></b> We describe the case of a 6-year-old boy with obstructive tetraventricular hydrocephalus, caused by Luschka and Magen­die foramina obstruction and diverticular enlargement of Luschka foramina (the so-called fourth ventricle outlet obstruction) associated with DS. He was treated with endoscopic third ventriculostomy (ETV) without complications, and a follow-up MRI revealed reduction of the ventricles, disappearance of the diverticula, and patency of the ventriculostomy. <b><i>Conclusion:</i></b> Diverticular enlargement of Luschka foramina is an important radiological finding for obstructive tetraventricular hydrocephalus. ETV is a viable option in tetraventricular obstructive hydrocephalus in DS.

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