The Current Minor Perception of V-S Complication

Abstract

ydrocephalus is a common neurosurgical condition and cause of severe neurological damage if left untreated H (14). Shunting of the cerebrospinal fluid (CSF) prevents the associated secondary neurological damage. However, CSF shunting procedures have a significantly high rate of complications. For this reason, in the last few years, the revival of endoscopic third ventriculocisternostomy (TVE) has made this technique the preferred treatment option for noncommunicating hydrocephalus, especially in case of aqueductal stenosis (9, 10). Extrathecal CSF shunts, nearly always ventriculoperitoneal (V-P) shunts, remain the procedure of choice in patients with communicating hydrocephalus, namely postinfective and posttraumatic, as well as in most cases of hydrocephalus secondary to intraventricular hemorrhage, and in spinal dysraphism, in which TVE benefits only in a minority of the affected subjects (1, 13).