Abstract
Objectives
Endoscopic third ventriculostomy (ETV) as an alternative to traditional shunt surgery in the management of hydrocephalus of different etiologies is new in Nigeria and West Africa, with no published data till date. This initial study was done to determine the success rate and complication among our patient population.
Materials and methods
This series consists of a prospective study of the clinical and radiological features and outcome of the first 25 consecutive patients who underwent ETV. ETV was considered to be successful when there was no event occurring during surgery that resulted in the procedure being aborted, postoperative neurological deficit, or adverse event that resulted in a modification of the normal postoperative care. Patients follow-up was for a minimum of 2 months.
Results
There were 14 males and 11 females. The median age of the patients was 6 months, ranging from 1 month to 48 years. The study included obstructive hydrocephalus because of aqueductal stenosis, Dandy Walker malformation, and pineal region tumor. ETV was successful in 23 patients. Two patients had cerebrospinal fluid leak and superficial surgical site infection. There was no mortality.
Conclusion
ETV in this series is safe with comparable surgical outcomes to conventional ventriculoperitoneal shunt surgery, and minimal postoperative morbidity has been observed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Dandy WE (1922) Cerebral ventriculoscopy. Johns Hopkins Hosp Bull 33:189
Mixer WJ (1923) Ventriciloscopy and puncture of the floor of the third ventricle. Boston Med Surg J 188:227–278
Hellwig D, Grotenhuis JA, Tirakotai W, Riegel T, Schulte DM, Bauer BL, Bertalanffy H (2005) Endoscopic third ventriculostomy for obstructive hydrocephalus. Neurosurg Rev 28:1–34
Jones RF, Kwok BC, Stening WA, Vonau M (1994) The current status of endoscopic third ventriculostomy in the management of non-communicating hydrocephalus. Minim Invasive Neurosurg 37:28–36
Jones RF, Stening WA, Brydon M (1990) Endoscopic third ventriculostomy. Neurosurgery 26:86–92
Kunz U, Goldmann A, Bader C, Waldbauer H, Oldenkott P (1994) Endoscopic fenestration of the 3rd ventricular floor in aqueductal stenosis. Minim Invasive Neurosurg 37:42–47
Teo C (1998) Third ventriculostomy in the treatment of hydrocephalus: experience with more than 120 cases. In: Hellwig D, Bauer BL (eds) Minimally invasive techniques for neurosurgery. Springer, Berlin, pp 73–76
Davis L (1992) Hydrocephalus and spina bifida. In: Davis L (ed) Principles of neurological surgery. Lea & Febiger, Philadelphia, pp 438–447
Koch-Wiewrodt D, Wagner W (2006) Success and failure of endoscopic third ventriculostomy in young infants: are there different age distributions? Childs Nerv Syst 22(12):1537–1541
Drake JM (2007) Endoscopic third ventriculostomy in pediatric patients: the Canadian experience. Neurosurgery 60(5):881–886
Baldauf J, Oertel J, Gaab MR, Schroeder HW (2007) Endoscopic third ventriculostomy in children younger than 2 years of age. Child’s Nerv Syst 23:623–626
Etus V, Ceylan S (2005) Success of endoscopic third ventriculostomy in children less than 2 years of age. Neurosurg Rev 28(4):284–288
Author information
Authors and Affiliations
Corresponding author
Additional information
A commentary on this paper is available at http://dx.doi.org/10.1007/s00381-007-0492-5.
Rights and permissions
About this article
Cite this article
Idowu, O., Doherty, A. & Tiamiyu, O. Initial experience with endoscopic third ventriculostomy in Nigeria, West Africa. Childs Nerv Syst 24, 253–255 (2008). https://doi.org/10.1007/s00381-007-0491-6
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-007-0491-6