Article ; Online: Neuronavigated foraminoplasty, shunt removal, and endoscopic third ventriculostomy in a 54-year-old patient with third shunt malfunction episode: how I do it.
2023 Volume 165, Issue 11, Page(s) 3289–3296
Abstract: Background: The application of endoscopic third ventriculostomy (ETV) for the treatment of obstructive hydrocephalus in shunt malfunction represents a paradigm shift, as it allows hydrocephalus to be transformed from a chronic condition treated with an ... ...
| Abstract | Background: The application of endoscopic third ventriculostomy (ETV) for the treatment of obstructive hydrocephalus in shunt malfunction represents a paradigm shift, as it allows hydrocephalus to be transformed from a chronic condition treated with an artificial device to a curable disease. Methods: We present a 54-year-old male with a diagnosis of idiopathic Sylvian aqueduct stenosis treated with shunt. The patient presented to our institution with symptoms of shunt malfunction and an increase in ventricular size on imaging, which was his third episode throughout his life. Through a right precoronal approach, with prior informed consent from the patient, we performed foraminoplasty, endoscopic third ventriculostomy, and finally removal of the shunt system. Conclusion: ETV shows promise as a viable treatment option for shunt malfunction in noncommunicating obstructive hydrocephalic patients. Its potential to avoid VPS-related complications, preserve physiological CSF circulation, and provide an alternative drainage pathway warrants further investigation. |
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| MeSH term(s) | Male ; Humans ; Middle Aged ; Ventriculostomy/adverse effects ; Treatment Outcome ; Third Ventricle/diagnostic imaging ; Third Ventricle/surgery ; Hydrocephalus/surgery ; Hydrocephalus/etiology ; Prostheses and Implants/adverse effects ; Neuroendoscopy/methods |
| Language | English |
| Publishing date | 2023-08-30 |
| Publishing country | Austria |
| Document type | Case Reports ; Journal Article |
| ZDB-ID | 80010-7 |
| ISSN | 0942-0940 ; 0001-6268 |
| ISSN (online) | 0942-0940 |
| ISSN | 0001-6268 |
| DOI | 10.1007/s00701-023-05777-2 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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