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Child's Nervous System
Published in: Child's Nervous System 8/2008

01-08-2008 | Original Paper

Complications of endoscopic third ventriculostomy

Authors: Yusuf Erşahin, Dilek Arslan

Published in: Child's Nervous System | Issue 8/2008

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Abstract

Objects

Although endoscopic third ventriculostomy (ETV) is considered as the first choice in the management of noncommunicating hydrocephalus, it is not without risk or complication.

Methods

The patients who had undergone ETV only between 1998 and 2005 were retrospectively reviewed. There were 85 males and 70 females, and 173 ETVs were performed in 155 patients. The patients’ age ranged from 2 months to 77 years. Complications were categorized as (1) intraoperative, (2) early postoperative (<1 month), and (3) late postoperative (>1 month). Follow-up of the patients ranged from 1 to 86 months.

Results

Overall complication rate per patient was 15.4%, and complication per procedure was 18%. Complication rate significantly varied with the etiology of hydrocephalus (P = 0.013). The patients with Chiari type I malformation and tumor had no or very low complication rates. The complication risk was significantly higher in repeat endoscopic procedure (55.5%) than in the first procedure (10%; P = 0.0001).

Conclusion

ETV should be the first choice in the management of noncommunicating hydrocephalus. Training, experience, and meticulous technique will decrease the complication rate. Patients undergoing ETV should be followed in a similar manner to patients with cerebrospinal fluid shunts.
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Metadata
Title
Complications of endoscopic third ventriculostomy
Authors
Yusuf Erşahin
Dilek Arslan
Publication date
01-08-2008
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 8/2008
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-008-0589-5

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