Endoscopic third ventriculostomy for hydrocephalus: A review of indications, outcomes, and complications
Vedantam Rajshekhar, RanjithK Moorthy
Abstract
Vedantam Rajshekhar, RanjithK Moorthy
Abstract
Endoscopic third ventriculostomy (ETV) has been in vogue for the past two decades, as a tool in the armamentarium of the neurosurgeon, for the management of hydrocephalus. Its utility has been proven consistently in congenital / acquired aqueductal stenosis, although the outcomes in communicating hydrocephalus as well as hydrocephalus secondary to other etiologies have not been as impressive. It is a relatively safe procedure with the appropriate selection of patients with a low rate of permanent morbidity. This review aims to define the current indications, management outcomes, and complications of ETV.
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Endoscopic third ventriculostomy (ETV) has been in vogue for the past two decades, as a tool in the armamentarium of the neurosurgeon, for the management of hydrocephalus. Its utility has been proven consistently in congenital / acquired aqueductal stenosis, although the outcomes in communicating hydrocephalus as well as hydrocephalus secondary to other etiologies have not been as impressive. It is a relatively safe procedure with the appropriate selection of patients with a low rate of permanent morbidity. This review aims to define the current indications, management outcomes, and complications of ETV.
Key concepts: Medicine, Endoscopic third ventriculostomy, Aqueductal stenosis, Hydrocephalus, Neurosurgery, Ventriculostomy, Obstructive hydrocephalus, Etiology