• World Neurosurg · Feb 2013

    Review

    Indication for endoscopic third ventriculostomy.

    • John Mugamba and Vita Stagno.
    • Department of Neurosurgery, CURE Children's Hospital of Uganda, Mbale, Uganda. mjohnk2006@yahoo.co.uk
    • World Neurosurg. 2013 Feb 1;79(2 Suppl):S20.e19-23.

    BackgroundEndoscopic third ventriculostomy (ETV) is increasingly prevalent among pediatric neurosurgeons as the initial treatment for hydrocephalus. The combination of ETV and choroid plexus cauterization (ETV/CPC) has improved the success rate among infants with hydrocephalus for whom ETV alone is much less successful. In parts of the developing world where there are economic and human resource constraints, this mode of treatment may be more appropriate than the routine use of shunts, which are prone to failures that require urgent surgical treatment. Here we review indications for the use of ETV or ETV/CPC as the primary treatment for hydrocephalus.ConclusionPrimary treatment of hydrocephalus by ETV can avoid shunt-dependence and its complications for many patients. Optimal results depend upon proper patient selection and the use of combined ETV/CPC when treating infants.Copyright © 2013 Elsevier Inc. All rights reserved.

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