ENDOSCOPIC THIRD VENTRICULOSTOMY (ETV)

Abstract

Objective: To know the surgical outcome of endoscopic third ventriculostomy(ETV) in non communicating hydrocephalous. Design: Cross sectional descriptive study.st Setting: Neurosurgery department of Hayatabad Medical Complex, Peshawar. Period: 1 March2010 to 1st march 2011. Materials and methods: A total of 41 patients with non-communicatinghydrocephalous, irrespective of gender discrimination were included in this study. Patientsbelow two years of age and hydrocephalus with infected CSF or hemorrhage were excluded.Hydrocephalous was diagnosed on CT scan brain. The information regarding patientdemographical details, causes of hydrocephalus and complications of procedure wasdocumented in patient’s Performa. The data was analyzed by SPSS version 16. Frequency andpercentage was calculated for categorical variables. Mean ± SD was calculated for age. Resultswere presented as tables. Results: A total of 41 patients with non-communicatinghydrocephalous were included in the study. Out of 41 patients, there were 26(63.41%) males and15(36.58%) females. The mean age was 21 years. Etiologically tuberculous meningitis was thecommonest cause of non communicating hydrocephalous. Post-operatively CSF leakage waspresent in 4(9.75%) patients, pseudomeningocele in 2(4.87%) patients, transient memory loss in2(4.87%) patients and pneumocephalous in 1(2.43%) patient. Conclusions: The complicationsof endoscopic third ventriculostomy are transient. Those patients who meet the criteria,endoscopic third ventriculostomy offers the possibility of freedom from shunt dependency.