Efficacy and Safety of Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus

Endoscopic third ventriculostomy is the procedure of choice to treat obstructive hydrocephalus now a days. Published case series of endoscopic third ventriculostomy (ETV) for childhood hydrocephalus have reported widely varying success rates. The purpose of this study is to determine the success rat...

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Main Authors: Sachidanad Gautam, Sumit Kamble
Format: Article
Language:English
Published: NESON 2017-06-01
Series:Nepal Journal of Neuroscience
Subjects:
Online Access:https://www.nepjol.info/index.php/NJN/article/view/19700
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author Sachidanad Gautam
Sumit Kamble
author_facet Sachidanad Gautam
Sumit Kamble
author_sort Sachidanad Gautam
collection DOAJ
description Endoscopic third ventriculostomy is the procedure of choice to treat obstructive hydrocephalus now a days. Published case series of endoscopic third ventriculostomy (ETV) for childhood hydrocephalus have reported widely varying success rates. The purpose of this study is to determine the success rate and complications of ETV for treating obstructive hydrocephalus. Patients with obstructive hydrocephalus and already shunted patients for obstructive hydrocephalus presented with blocked shunt were included in the study. The exclusion criteria consisted ofrecurrent tumor or intra ventricular hemorrhage. Endoscopic third ventriculostomy was performed. Patients were followed up for one year and Clinical and Radiological improvement, complications and mortality was noted. This study was conducted in Neurosurgery Department, Govt. Medical College, Kota between 2015-2016. There were 56 patients including 36 males and 20females. Success rate in the form of clinical and/ or radiological improvement was seen in 88.8% 0f patients. Complications were seen in 6 patients including ETV failure and ventricular hemorrhage. There was no mortality during follow up period of 1 year. ETV is cost effective and safe procedure in patients with obstructive hydrocephalus with good outcome. It may be used as replacement procedure of ventriculo-peritoneal shunt as initial line of management in selected patients based on ETV score.
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spelling doaj.art-e8a887c435644bedbb127c1dcaf226d42022-12-22T01:26:13ZengNESONNepal Journal of Neuroscience1813-19481813-19562017-06-011422124https://doi.org/10.3126/njn.v14i2.19700Efficacy and Safety of Endoscopic Third Ventriculostomy in Obstructive HydrocephalusSachidanad Gautam 0Sumit Kamble 1Department of Neurosurgery Govt. Medical College, Kota RajasthanDepartment of Neurology Govt. Medical College, Kota RajasthanEndoscopic third ventriculostomy is the procedure of choice to treat obstructive hydrocephalus now a days. Published case series of endoscopic third ventriculostomy (ETV) for childhood hydrocephalus have reported widely varying success rates. The purpose of this study is to determine the success rate and complications of ETV for treating obstructive hydrocephalus. Patients with obstructive hydrocephalus and already shunted patients for obstructive hydrocephalus presented with blocked shunt were included in the study. The exclusion criteria consisted ofrecurrent tumor or intra ventricular hemorrhage. Endoscopic third ventriculostomy was performed. Patients were followed up for one year and Clinical and Radiological improvement, complications and mortality was noted. This study was conducted in Neurosurgery Department, Govt. Medical College, Kota between 2015-2016. There were 56 patients including 36 males and 20females. Success rate in the form of clinical and/ or radiological improvement was seen in 88.8% 0f patients. Complications were seen in 6 patients including ETV failure and ventricular hemorrhage. There was no mortality during follow up period of 1 year. ETV is cost effective and safe procedure in patients with obstructive hydrocephalus with good outcome. It may be used as replacement procedure of ventriculo-peritoneal shunt as initial line of management in selected patients based on ETV score.https://www.nepjol.info/index.php/NJN/article/view/19700etvobstructive hydrocephalusposterior fossa tumor
spellingShingle Sachidanad Gautam
Sumit Kamble
Efficacy and Safety of Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus
Nepal Journal of Neuroscience
etv
obstructive hydrocephalus
posterior fossa tumor
title Efficacy and Safety of Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus
title_full Efficacy and Safety of Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus
title_fullStr Efficacy and Safety of Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus
title_full_unstemmed Efficacy and Safety of Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus
title_short Efficacy and Safety of Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus
title_sort efficacy and safety of endoscopic third ventriculostomy in obstructive hydrocephalus
topic etv
obstructive hydrocephalus
posterior fossa tumor
url https://www.nepjol.info/index.php/NJN/article/view/19700
work_keys_str_mv AT sachidanadgautam efficacyandsafetyofendoscopicthirdventriculostomyinobstructivehydrocephalus
AT sumitkamble efficacyandsafetyofendoscopicthirdventriculostomyinobstructivehydrocephalus