Results of Endoscopic Septostomy in Isolated Lateral Ventricular Hydrocephalus


  • Muhammad Hassan Raza Punjab Institute of Neurosciences (PINS), Lahore, Pakistan
  • Iqbal Ahmad Teaching Hospital, DG Khan
  • Adnan Khaliq Saidu Teaching Hospital, Swat, Pakistan
  • Zain Saleh Punjab Institute of Neurosciences (PINS), Lahore, Pakistan



Objective:  To determine the success of endoscopic septostomy in the management of isolated lateral ventricular hydrocephalus.

Material and Methods:  A retrospective analysis of data was done and records of all patients who underwent endoscopic septostomy for isolated lateral ventricular hydrocephalus due to any cause for the last 4 years, December 2017 to December 2021 at Punjab Institute of Neurosciences, Lahore. Radiological and clinical outcomes and complications were recorded. A total of 60 cases were reviewed.

Results:  Out of 60 patients, 95% were in the age group of 3 – 25 years and 5% were in the age group of 26 – 71 years. There was 54% male whereas 46% were female. Septostomy was successful in relieving hydrocephalus in 75% of cases.

Conclusion:  Endoscopic septostomy is an effective procedure for the management of isolated lateral ventricles.

Keywords:  Septostomy, Hydrocephalus, Isolated Lateral Ventricles.


Decq P, Schroeder HW, Fritsch M, Cappabianca P. A history of ventricular neuroendoscopy. World Neurosurgery, 2013; 79 (2): S14-e1.

Extirpation of the choroid plexus of the lateral ventricles in communicating hydrocephalus. Dandy WE. Ann Surg. 1918; 68: 569–579.

Feng H, Huang G, Liao X, Fu K, Tan H, Pu H, Cheng Y, Liu W, Zhao D. Endoscopic third ventriculostomy in the management of obstructive hydrocephalus: an outcome analysis. Journal of Neurosurgery, 2004; 100 (4): 626-33.

Feng Z, Li Q, Gu J, Shen W: Update on Endoscopic Third Ventriculostomy in Children. Pediatr Neurosurg. 2018; 53: 367-370.

Symss NP, Oi S. Theories of cerebrospinal fluid dynamics and hydrocephalus: historical trend: A review. Journal of neurosurgery: Pediatrics, 2013; 11 (2): 170-7.

Hamada H, Hayashi N, Kurimoto M, Umemura K, Hirashima Y, Endo S. Neuroendoscopic septostomy for isolated lateral ventricle. Neurologia Medico-chirurgica. 2003; 43 (12): 582-8.

Wilberger JE, Vertosick FT, Vries JK: Unilateral hydrocephalus secondary to congenital atresia of the foramen of Monro. J Neurosurg. 1983; 59: 899-90 I.

Taboada D, Alonso A, Alvarez JA, et al: Case reports: Congenital atresia of the foramen of Monro. Neuroradiology, 1979; 17: 161-164.

Baumann B, Danon L, Weitz R, et al. Unilateral hydrocephalus due to obstruction of the foramen of Monro: Another complication of intrauterine mumps infection? Eur J Pediatr. 1982; 139: 158-159.

Kalsback JE, DeSousa AL, Kleinman MB: Compartmentalization of cerebral ventricles as a sequela of neonatal meningitis. J Neurosurg. 1980; 52: 547-552.

Mohammad MH, Diaz RJ. Technical and anatomical aspects of endoscopically assisted septostomy in unilateral ventriculoperitoneal shunt placement for the management of isolated lateral ventricles. Interdisciplinary Neurosurgery, 2017; 10: 32-6.

Hayashi T, Hashimoto T, Fukuda S, Anegawa S, Torigoe R. Clinical analysis of shunted hydrocephalic neonates and sucklings. Observation of postshunt complication due to overdrainage from intraventricular CSF. No to Shinkei = Brain and Nerve, 1990; 42 (12): 1167-71.

Aldana PR, Kestle JR, Brockmeyer DL, Walker ML. Results of endoscopic septal fenestration in the treatment of isolated ventricular hydrocephalus. Pediatric Neurosurgery, 2003; 38 (6): 286-94.