Endoscopic Third Ventriculostomy
Treatment of Patients with Obstructive Hydrocephalus in Al-Anbar Governorate
Abstract
ABSTRACTBackground: 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
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