Endoscopic third ventriculostomy for hydrocephalus: a study of thirty cases

Paresh Sodhiya; Zafar Ahmed Sheikh; Mukesh Sharma; Meen Morey

doi:10.18203/2349-2902.isj20191089

Authors

Paresh Sodhiya Department of Surgery, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India
Zafar Ahmed Sheikh Department of Neurosurgery, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India
Mukesh Sharma Department of Surgery, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India
Meen Morey Department of Surgery, Mahatma Gandhi Memorial Medical College, Indore, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20191089

Keywords:

CSF diversion, ETV, Fenestration, Hydrocephalus

Abstract

Background: Raised intracranial pressure because of abnormal accumulation of CSF with in the ventricles of brain is a potentially life-threatening condition. Ventriculoperitoneal shunt remains mainstay of treatment even today. However, shunt failure is not uncommon. Hence endoscopic procedures are now gaining popularity. The outcome of ETV with respect to age ,etiology and long-term outcome needs further elucidation.

Methods: Thirty patients with hydrocephalus who underwent endoscopic treatment were analysed retrospectively with respect to age, diagnosis, surgical outcome, treatment failure and complications.

Results: Total of 28 patients successfully underwent ETV and with an overall success rate of 78%. Moreover, the success rate of ETV was found to be 100% in the 0-1 and 80% in 1-2 years age groups. 2 patients required re operation in the form of VP shunt.

Conclusions: ETV is a safe and effective surgical modality with comparable outcome in paediatric and adult populations.

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