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ETV as a last resort

Abstract

Introduction

The field of neuroendoscopy is rapidly expanding with increasing indications for endoscopic third ventriculostomy (ETV).

Discussion

As a treatment for hydrocephalus, ETV has the advantage of providing a more physiological cerebrospinal fluid diversion without shunt hardware which reduces the risk of recurrent infection and malfunction. The success rate of ETV has been increasing with decreasing morbidity and mortality.

Conclusion

Originally, ETV was indicated for cases of obstructive hydrocephalus, however the indications are expanding. To highlight this, we present a small series of cases were ETV is not traditionally indicated and was a treatment of last choice.

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Funding

The first author is currently in receipt of an educational grant from DePuy Synthes.

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Correspondence to Tafadzwa Mandiwanza.

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Mandiwanza, T., Zakaria, Z., Khalil, A. et al. ETV as a last resort. Childs Nerv Syst 30, 859–866 (2014). https://doi.org/10.1007/s00381-013-2330-2

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  • DOI: https://doi.org/10.1007/s00381-013-2330-2

Keywords

  • Endoscopic third ventriculostomy
  • Slit ventricle syndrome
  • Spina bifida
  • Hydrocephalus