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Complications of Endoscopic Third Ventriculostomy

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Book cover Pediatric Hydrocephalus

Abstract

Endoscopic third ventriculostomy is considered by many as one of the greatest breakthroughs in the management of hydrocephalus and is the most commonly performed neuroendoscopic procedure. Neurosurgeons have pushed the boundaries of this procedure beyond the classic indication of aqueductal stenosis to include hydrocephalus of many other etiologies. Even as this technique becomes more conventional within neurosurgery, there is a distinct learning curve associated with the procedure, and many of the complications can be quite serious in nature. These can occur intraoperatively (bradycardia, hemorrhage, neural structure injury) and postoperatively (hygroma, hematoma, CSF leak, infection, seizures). Clearly, a thorough understanding of these potential pitfalls is obligatory for the skilled surgeon. This chapter will review the etiology and relative frequency of complications associated with endoscopic third ventriculostomy. Emphasis is placed on complication avoidance, and recommendations are given to encourage prevention in every phase of the procedure.

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Author information

Authors and Affiliations

  1. Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, USA

    Michael DeCuypere

  2. Centre for Minimally Invasive Neurosurgery, Prince of Wales Hospital, Randwick, NSW, Australia

    Charles Teo

Authors
  1. Michael DeCuypere
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  2. Charles Teo
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Corresponding author

Correspondence to Charles Teo .

Editor information

Editors and Affiliations

  1. Pediatric Neurosurgery, Santobono Pausilipon Children’s Hospital, Naples, Italy

    Giuseppe Cinalli

  2. Division of Pediatric Neurosurgery, Acıbadem University, School of Medicine, Istanbul, Turkey

    M. Memet Özek

  3. Pediatric Neurosurgery, Hôpital Necker-Enfants Malades Université René Descartes-Paris V, Paris, France

    Christian Sainte-Rose

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DeCuypere, M., Teo, C. (2019). Complications of Endoscopic Third Ventriculostomy. In: Cinalli, G., Özek, M., Sainte-Rose, C. (eds) Pediatric Hydrocephalus. Springer, Cham. https://doi.org/10.1007/978-3-319-27250-4_29

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  • DOI: https://doi.org/10.1007/978-3-319-27250-4_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27248-1

  • Online ISBN: 978-3-319-27250-4

  • eBook Packages: MedicineReference Module Medicine

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