• Dinesh Naidoo.
• Division of Neuroscience, Department of Neurosurgery, Charlotte Maxeke Johannesburg Academic Hospital and University of the Witwatersrand, Johannesburg, South Africa. Electronic address: dineshnaidoo@yahoo.com.
• World Neurosurg. 2024 Oct 1; 190: 142145142-145.

BackgroundIdiopathic intracranial hypertension (IIH) remains a poorly understood condition with no standardized treatment. Treatment is therefore generally individualized. Recent isolated reports have begun to describe the use of third ventriculostomy (open or closed) for the treatment of IIH. This review aims to communicate the current evidence for the use of third ventriculostomy in IIH.MethodsA systemic review, using PubMed, was performed of studies describing the use of third ventriculostomy, either open or closed, for the treatment of idiopathic intracranial hypertension.ResultsOnly 3 studies for a total of 3 patients were found in which a third ventriculostomy was performed for the treatment of IIH.ConclusionDespite very plausible proposed mechanisms of action, there is currently a paucity of both studies and, therefore, evidence for the use of either endoscopic or open third ventriculostomy for the treatment of IIH. The studies done to date do strongly suggest that further consideration is warranted.Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.

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