Search Results

You are looking at 81 - 90 of 1,104 items for :

  • "third ventriculostomy" x
  • Refine by Access: all x
Clear All
Restricted access

Hyponatremia following endoscopic third ventriculostomy: a report of 5 cases and analysis of risk factors

Clinical article

Shih-Shan Lang, Joel A. Bauman, Michael W. Aversano, Matthew R. Sanborn, Arastoo Vossough, Gregory G. Heuer, and Phillip B. Storm

from an asymptomatic contemporary cohort. Methods Endoscopic third ventriculostomy was performed in 32 patients (20 male and 12 female) for the management of hydrocephalus at the Children's Hospital of Philadelphia between 2008 and 2010. Medical records and neuroimaging data were retrospectively reviewed. The patients' ages ranged from 3 weeks to 28 years (median 6 years). Indications for ETV included nontumoral aqueductal stenosis in 14 patients (44%), nontectal tumor in 8 patients (25%), arachnoid cyst in 5 patients (16%), tectal glioma in 4 patients (13

Full access

The 50 most cited publications in endoscopic third ventriculostomy: a bibliometric analysis

Nirmeen Zagzoog, Ahmed Attar, and Kesh Reddy

E ndoscopic third ventriculostomy (ETV) was first proposed in 1923. 41 By the 1950s, ETV was shelved when the valved shunt gained prominence for the treatment of hydrocephalus. 3 As the century mark for ETV approaches, the procedure has emerged as the first-line treatment for obstructive hydrocephalus and has been useful in other secondary forms. Its comeback is owed to a greater scientific understanding of hydrocephalic conditions, radiological advances, technical refinement of the neuroendoscope, and the persistence of the neurosurgical community in

Restricted access

Endoscopic third ventriculostomy and choroid plexus cauterization in posthemorrhagic hydrocephalus of prematurity

Clinical article

Parthasarathi Chamiraju, Sanjiv Bhatia, David I. Sandberg, and John Ragheb

space and also to plan the entry point over the scalp. Sagittal T2-weighted MR images were used to define the prepontine space. This space is divided arbitrarily into a narrow or a normal space based on the distance between the dorsum sellae and basilar artery. The amount of scarring in the prepontine space was not assessed in this study. Cerebrospinal fluid flow through the aqueduct was analyzed by phase-contrast MRI sequences. Patients with large interthalamic adhesions were not considered for this procedure. Endoscopic treatment included third ventriculostomy

Free access

Endoscopic third ventriculostomy with choroid plexus cauterization for the treatment of infantile hydrocephalus in Haiti

Ashish H. Shah, Yudy LaFortune, George M. Ibrahim, Iahn Cajigas, Michael Ragheb, Stephanie H. Chen, Ernest J. Barthélemy, Ariel Henry, and John Ragheb

hydrocephalus, limited access to shunts and challenges in effectively troubleshooting shunt complications have curbed the procedure’s utility in LMICs. Complication rates for VPS can exceed 30%, including malfunction or migration, over-shunting, infection, and wound breakdown. 2 , 13 , 17 As in other developing countries, namely Uganda, endoscopic third ventriculostomy with choroid plexus cauterization (ETV/CPC) has been offered as a durable, safe alternative to VPS. With its similar neurodevelopmental outcomes and reduced shunting rates compared to those of VPS, ETV/CPC has

Restricted access

Changes in cerebrospinal fluid hydrodynamics following endoscopic third ventriculostomy for shunt-dependent noncommunicating hydrocephalus

Kenichi Nishiyama, Hiroshi Mori, and Ryuichi Tanaka

V entriculoperitoneal shunt placement in patients with obstructive hydrocephalus may present disadvantages, such as the continuous presence of implanted foreign materials and the potential for infection and/or overdrainage. Ventriculostomy is a good therapeutic alternative to ventriculoperitoneal shunt placement. Third ventriculostomy was first performed by Dandy via a subfrontal approach in 1922. 5 Later, he used a subtemporal approach for this procedure 6 and Nakata, et al., 14 developed a posterosuperior approach. Recent developments in solid lens and

Restricted access

Early outcome of combined endoscopic third ventriculostomy and choroid plexus cauterization in childhood hydrocephalus

Olufemi B. Bankole, Omotayo A. Ojo, Mathias N. Nnadi, Okezie O. Kanu, and John O. Olatosi

environment. 6 , 15 , 25 Endoscopic third ventriculostomy (ETV) has become increasingly recognized as a viable treatment for hydrocephalus in children. 21 , 26 , 27 It promises a simpler complication profile and lower risk of infection. Traditionally, ETV was reserved for children older than 2 years; more recently, however, its use in infants, especially when combined with choroid plexus cauterization (CPC), results in successful outcomes in many cases previously thought unsuitable for treatment by endoscopic means. 23 , 26 , 27 At present, the scope of patients who can

Restricted access

Endoscopic third ventriculostomy in adults: a technique for dealing with the neural (opaque) floor

Clinical article

Walter Grand and Jody Leonardo

E ndoscopic third ventriculostomy was first performed by Mixter in 1923, when he passed a “flexible sound” under direct vision using a urethroscope through the floor of the third ventricle. 17 The effectiveness of ETV as an alternative to VP shunting has been demonstrated in the treatment of obstructive hydrocephalus and communicating hydrocephalus. 4 However, ETV is not an operation without hazards, and perforation of or injury to the BA complex can produce a catastrophic result. 2 , 12 , 16 , 25 , 26 Underlying perforating vessels can also be injured. 9

Restricted access

The role of endoscopic third ventriculostomy in adult patients with hydrocephalus

Clinical article

Michael D. Jenkinson, Caroline Hayhurst, Mohammed Al-Jumaily, Jothy Kandasamy, Simon Clark, and Conor L. Mallucci

E ndoscopic third ventriculostomy has rapidly gained acceptance as the treatment of choice for hydrocephalus in children. 6 , 7 , 16 , 21 , 24 The success of ETV is dependant primarily on the causes of the hydrocephalus 17 and is ideally suited to obstructive causes such as tumors 11 , 16 , 20 , 24 and aqueduct stenosis. 17 , 23 Endoscopic third ventriculostomy has traditionally been the preserve of pediatric neurosurgeons, and the authors of most studies in the literature report either exclusively pediatric cohorts 6 , 7 , 24 or mixed groups of

Restricted access

The role of endoscopic third ventriculostomy in the treatment of hydrocephalus associated with faciocraniosynostosis

Clinical article

Federico Di Rocco, Carlos Eduardo Jucá, Eric Arnaud, Dominique Renier, and Christian Sainte-Rose

between children with unilateral and bilateral jugular vein stenosis. Conclusions Endoscopic third ventriculostomy appears to play a role in the treatment of children with complex craniosynostosis when the crowding of the neural and vascular structures within the posterior fossa or a hypoplastic aqueduct suggests the prevalent role of an obstructive component in the genesis of the associated hydrocephalus. Stenosis of the jugular veins should not necessarily be considered a contraindication for the use of this procedure. The distorted cerebral anatomy that

Restricted access

Endoscopic third ventriculostomy for shunt dysfunction in occlusive hydrocephalus: long-term follow up and review

Jürgen Boschert, Dieter Hellwig, and Joachim K. Krauss

has always been a search for alternative treatment options. 1 Different techniques have been described to bypass obstructions of the internal CSF pathways: third ventriculostomy through subtemporal craniotomy, 11 the Torkildsen ventriculocisternostomy, 54, 55 microsurgical ventriculocisternostomy, 40, 45 stereotactic ventriculocisternostomy, 9, 25, 44 fluoroscopic ventriculocisternostomy, 19, 24 microsurgical opening of the lamina terminalis, 46 and reconstruction of or stent placement in the aqueduct. 37 Several studies have shown the efficacy and safety