Role of Endoscopic Third Ventriculostomy in Congenital Obstructive Hydrocephalus
Keywords:
Endoscopic Third Ventriculostomy, Ventriculoperitoneal ShuntAbstract
Object: To improve the care of Obstructive Hydrocephalic infants, from six months to twelve months and to evaluate the efficacy and complications of Endoscopic Third Ventriculostomy (ETV).
Materials and Methods: The study was conducted in the Department of Neurosurgery PGMI, Lahore General Hospital, Lahore from July 2007 to June 2008. Total numbers of patients were 30, which were divided into two equal groups. Group A (15 patients) underwent Endoscopic Third Ventriculostomy (ETV) and Ventriculo-peritoneal VP Shunt were done in Group B (15 patients). Cases were selected randomly.
Results: The mean age for Group A was 9 months and for Group B was 8 months Endoscopic Third Ventriculo-stomy (ETV) procedure found successful in older than 8 months of age while ventriculoperitoneal VP Shunt procedure found successful in all age groups. Before procedure mean head circumference for Group A was 50.86 cm and for Group B was 50.84 cm. After one year follow up mean head circumference in Endoscopic Third Ventriculostomy (ETV) Group was 50.18 cm and in VP Shunt Group was 47.38 cm. Primary success in Endoscopic Third Ventriculostomy (ETV) Group was 53.3% (8 out of 15), whereas in VP Shunt Group it was 66.7% (10 out of 15).
Conclusion: Although results are same in both groups but Endoscopic Third Ventriculostomy (ETV) Group remain shunt free. Endoscopic Third Ventriculostomy seems to be an effective alternative than VP Shunt in the management of Hydrocephalus in infants provided careful patient selection is done and surgeon is competent enough with Endoscopic Third Ventriculostomy technique.
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