Open Access 01-06-2008 | Case Report
Microsurgical third ventriculocisternostomy as an alternative to ETV: report of two cases
Published in: Child's Nervous System | Issue 6/2008
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Objective
To describe a microsurgical alternative to endoscopic third ventriculocisternostomy.
Methods
Two children with shunt-dependent hydrocephalus and multiple shunt revisions were considered candidates for third ventriculocisternostomy (TVS). Because of slit ventricles, an endoscopic approach was not possible and, therefore, both patients received a microsurgical TVS by a supraorbital approach.
Results
In both cases, microsurgical TVS was successful and the patients became shunt free.
Conclusion
Microsurgical TVS by a supraorbital craniotomy is a viable alternative to endoscopic TVS in selected cases.