Success Rate of Endoscopic Third Ventriculostomy (ETV) in Non-Communicating Hydrocephalus in Pediatric Age Group

  • Sanaullah Pathan Liaquat University Hospital, Hyderabad https://orcid.org/0000-0002-9740-089X
  • Riaz Ahmed Raja Memon Liaquat University of Medical and Health Sciences, Jamshoro
  • Peer Asad Aziz Qureshi Liaquat University Hospital, Hyderabad
  • Suhail Ahmed Aghani Liaquat University Hospital, Hyderabad
  • Abdul Rauf Memon Liaquat University of Medical and Health Sciences, Jamshoro
  • Mubarak Hussain Liaquat University of Medical and Health Sciences, Jamshoro
Keywords: Endoscopic Third Ventriculostomy, Non-Communicating Hydrocephalus, Pediatric age groups, Cerebrospinal Fluid

Abstract

Objective:  To evaluate success rate of the endoscopic third Ventriculostomy (ETV) in non-communicating type of hydrocephalus in pediatric age group.

Material and Methods:  This study was carried in the department of neurosurgery at Liaquat university hospital, Jamshoro in which an endoscopic third Ventriculostomy procedure was performed in patients (n = 55) with non-communicating hydrocephalus from October 2016 to April 2017. Post-operative follow-up was done on the 15th day post-operative to assess clinical and radiological improvement.

Results:  55 patients were included in this study, 26 (47.27%) males and 29 (52.73%) females. The mean age was 3.96 years. The most common etiology was aqueductal stenosis 28 (50.90%) patients followed by posterior fossa tumors in 18 (32.72%) patients. The operative technique was successful in 41 (74.55%) patients. Out of 41 successful patients, 34 (82.92%) patients had clinical as well as radiological improvement whereas 7 (17.07%) patients had clinical improvement only.

Conclusion:  The success rate of ETV was 74.55% in the non-communicating hydrocephalus in the pediatric age group in our study. Endoscopic third Ventriculostomy is an effective treatment for non-Communicating hydrocephalus in pediatric age groups by diversion of CSF intracranially. This procedure provides shunt freedom and can be used alternative to shunts in pediatric age groups with non-communicating hydrocephalus.

Author Biographies

Sanaullah Pathan, Liaquat University Hospital, Hyderabad

Consultant Neurosurgeon, Department of Neurosurgery,Liaquat University Hospital, Hyderabad.

Riaz Ahmed Raja Memon, Liaquat University of Medical and Health Sciences, Jamshoro

Professor and Chairman, Department of Neurosurgery, Liaquat University of Medical and Health Sciences (LUMHS) , Jamshoro

Peer Asad Aziz Qureshi, Liaquat University Hospital, Hyderabad

Consultant Neurosurgeon, Department of Neurosurgery, Liaquat University Hospital, Hyderabad.

Suhail Ahmed Aghani, Liaquat University Hospital, Hyderabad

Cosnultant Neurosurgeon,Liaquat University Hospital, Hyderabad.

Abdul Rauf Memon, Liaquat University of Medical and Health Sciences, Jamshoro

Assistant professor, Department of Neurosurgery,Liaquat University of Medical and Health Sciences, Jamshoro

Mubarak Hussain, Liaquat University of Medical and Health Sciences, Jamshoro

Assistant Professor, Department of Neurosurgery, Liaquat University of Medical and Health Sciences, Jamshoro

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Published
2021-06-14
Section
Original Articles