Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Hydrocephalus is characterized by the enlargement of brain ventricles due to excessive cerebrospinal fluid (CSF) production or reduced absorption, commonly necessitating neurosurgical intervention. Endoscopic third ventriculostomy (ETV) offers a minimally invasive alternative to ventriculoperitoneal (VP) shunting for the treatment of obstructive hydrocephalus. This study aims to evaluate the effectiveness and safety of ETV across various age groups and pathologies. A prospective study was conducted involving 40 patients who underwent ETV for obstructive hydrocephalus between 2022 and 2024 at the Department of Neurosurgery, J.A. Group of Hospitals and G.R. Medical College, Gwalior, MP. Inclusion criteria included all age groups diagnosed with obstructive hydrocephalus confirmed by imaging studies, with obstructions near the aqueduct of Silvius. Exclusion criteria encompassed bleeding disorders, history of prior ventricular shunt or ETV surgery and basilar invagination. Data collected included patient demographics, imaging studies, intraoperative details and postoperative outcomes. :The age distribution indicated a predominance of younger patients, with 65% being infants to early childhood. Symptomatically, 67.5% of patients reported headaches. Males constituted 75% of the sample. The most common diagnosis was congenital hydrocephalus with aqueductal stenosis (62.5%). ETV alone was performed in 80% of cases. The success rate varied, with 60‐100% symptomatic improvement across different age groups and pathologies. Complications included CSF leaks (10%), meningitis (5%), wound infections (5%), seizures (5%) and intraoperative interventricular bleeding (2.5%). ETV is a safe and effective treatment for obstructive hydrocephalus, particularly in children under five years of age. The procedure demonstrated a success rate of 70‐80% across various studies, with improvements in clinical and radiographic findings and a reduced dependency on shunts. Careful patient selection, skilled surgical execution and rigorous postoperative care can minimize complications.
How to cite this article:
Kiran Ahire, Anand Sharma and Avinash Sharma. Assessing the Effectiveness of Endoscopic Third Ventriculostomy in Patient with Obstructive Hydrocephalus.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.428.435
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.428.435