Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Oct 2004
Clinical Trial[Complications and failures of endoscopic ventriculostomy of the third ventricle].
The study was undertaken to elucidate the poor outcomes of endoscopic ventriculostomy of the third ventricle (EVTV), including complications and dysfunctions. A series of 249 consecutive EVTV (the mean age of 15 years in 247 patients) made at the Institute of Neurosurgery in 1995 to 2003 was analyzed. The causes of hydrocephalus were benign tumors in 95 (38%) patients, stenosis of the aqueduct of the cerebrum in 73 (29%), malignant tumors in 63 (25%), and other causes in 18 (7%) cases. ⋯ Obstruction at the level of the posterior intracranial fossa is a relative contraindication to EVTV due to a low chance of having a success. The high risk for late dysfunctions in patients with malignant tumors requires a more strict choice of indications in this group. If there is anastomotic dysfunction, EVTV may be a good alternative to shunt revision.