Surgical Outcome of Endoscopic Third Ventriculostomy in the Treatment of Obstructive Hydrocephalus

Zia-Ur- Rehman; Bashir  Ullah; Muhammad  Aamir

doi:10.54112/bcsrj.v6i5.1782

Authors

Zia-Ur- Rehman Lady Reading Hospital MTI Peshawar, Pakistan
Bashir Ullah Lady Reading Hospital MTI Peshawar, Pakistan
Muhammad Aamir Lady Reading Hospital MTI Peshawar, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i5.1782

Keywords:

Obstructive hydrocephalus, Endoscopic Third Ventriculostomy, Efficacy, Adults, Pediatrics

Abstract

Hydrocephalus is the dilation of the cerebral ventricles, which can occur due to obstructed circulation of cerebrospinal fluid (CSF). In cases of communicative hydrocephalus, the blockage of cerebrospinal fluid circulation occurs due to a decrease in the absorption of CSF by the arachnoid granulations. On the other hand, non-communicating hydrocephalus is due to a blockage that occurs closer to the granulations, such as a narrowing of the aqueduct of Sylvius. Objective: To determine the surgical outcome in terms of success of ETV in obstructive hydrocephalus. Methods: Sixty-two patients presenting with obstructive hydrocephalus were treated with the ETV procedure over the period of one year. The success rate of ETV was determined. Results: Thirty-eight (61.3%) male and 24 (38.7%) female patients were treated for obstructive hydrocephalus. The mean age was 11.68±9.94 years. ETV was successful in 48 (77.4%) patients. Conclusion: ETV is an effective and efficient surgical treatment for obstructive hydrocephalus with a success rate of 77.4%.

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References

Leinonen V, Vanninen R, Rauramaa T. Cerebrospinal fluid circulation and hydrocephalus. Handb Clin Neurol. 2018;145:39-50.

Lolansen SD, Rostgaard N, Oernbo EK, Juhler M, Simonsen AH, MacAulay N. Inflammatory markers in cerebrospinal fluid from patients with hydrocephalus: a systematic literature review. Dis Markers. 2021.

Abraham AP, Moorthy RK, Jeyaseelan L, Rajshekhar V. Postoperative intraventricular blood: a new modifiable risk factor for early postoperative symptomatic hydrocephalus in children with posterior fossa tumors. Childs Nerv Syst. 2019;35:1137-46.

Helmbold LJ, Kammler G, Regelsberger J, Fritzsche FS, Emami P, Schüller U, et al. Predictive factors associated with ventriculoperitoneal shunting after posterior fossa tumor surgery in children. Childs Nerv Syst. 2019;35:779-88.

Lu L, Chen H, Weng S, Xu Y. Endoscopic third ventriculostomy versus ventriculoperitoneal shunt in patients with obstructive hydrocephalus: meta-analysis of randomized controlled trials. World Neurosurg. 2019;129:334-40.

Usami K, Ishisaka E, Ogiwara H. Endoscopic third ventriculostomy and cerebrospinal fluid shunting for pure communicating hydrocephalus in children. Childs Nerv Syst. 2021;37(9):2813-9.

Al-Hakim S, Schaumann A, Tietze A, Schulz M, Thomale UW. Endoscopic third ventriculostomy in children with third ventricular pressure gradient and open ventricular outlets on MRI. Childs Nerv Syst. 2019;35:2319-26.

di Russo P, Fava A, Vandenbulcke A, Miyakoshi A, Kohno M, Evins AI, et al. Characteristics and management of hydrocephalus associated with vestibular schwannomas: a systematic review. Neurosurg Rev. 2021;44(57):687-98.

Rieken S, Gaiser T, Mohr A, Welzel T, Witt O, Kulozik AE, et al. Outcome and prognostic factors of desmoplastic medulloblastoma treated within a multidisciplinary treatment concept. BMC Cancer. 2010;10(1):1-0.

Hafez RF. Stereotaxic gamma knife surgery in treatment of critically located pilocytic astrocytoma: preliminary result. World J Surg Onc. 2007;5(1):1-6.

Li D, Ravindra VM, Lam SK. Rigid versus flexible neuroendoscopy: a systematic review and meta-analysis of endoscopic third ventriculostomy for the management of pediatric hydrocephalus. J Neurosurg. 2021;28(4):439-49.

Texakalidis P, Tora MS, Wetzel JS, Chern JJ. Endoscopic third ventriculostomy versus shunt for pediatric hydrocephalus: A systematic literature review and metaanalysis. Nervous System. 2019;35:1283-93.

Unal TC, Sencer A, Dolas I, Gulsever CI, Sahin D, Dolen D, et al. Full-endoscopic removal of third ventricular colloid cysts: technique, results, and limitations. Front Surg. 2023;10:1174144.

Carretta A, Zoli M, Martinoni M, Rustici A, Conti A, Mazzatenta D, et al. Isolated entrapment of the lateral ventricle after neuroendoscopic resection of colloid cysts: single–center experience and management. Clin Neurol Neurosurg. 2023;232:107890.

Culley DJ, Berger MS, Shaw D, Geyer R. An analysis of factors determining the need for ventriculoperitoneal shunts after posterior fossa tumor surgery in children. Neurosurgery. 1994;34(3):402-8.

Farooq Azam, et al, Surgical Outcome of Endoscopic Third Ventriculostomy in Patients Having High ETV Success Score. Pak. J. of Neurol. Surg. 2022;26 (3): 515-520.

Khanzada K, Rehman Zu. Endoscopic Third Ventriculostomy: Outcome Analysis In 170 Procedures. Khyber Med Univ J 2014; 6(1): 25-30.

Morgan E, Bankole OB, Mofikoya BO, Kanu OO, Ojo OA, Jeje EA, et al. Endoscopic third ventriculostomy success score in predicting short-term outcome in 68 children with hydrocephalus in a resource-limited tertiary centre in subSaharan Africa. Egypt J Neurosurg, 2019; 34(1): 31.

El Damaty A, Marx S, Cohrs G, Vollmer M, Eltanahy A, El Refaee E, et al. ETV in infancy and childhood below 2 years of age for treatment of hydrocephalus. Child's Nerv Syst, 2020; 36(11): 2725-31.