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Child's Nervous System
Published in: Child's Nervous System 7/2016

01-07-2016 | Original Paper

Endoscopic third ventriculostomy for hydrocephalus in brainstem glioma: a case series

Authors: Natsuki Kobayashi, Hideki Ogiwara

Published in: Child's Nervous System | Issue 7/2016

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Abstract

Object

A brainstem glioma is an incurable brain tumor that can be complicated by hydrocephalus. A ventriculoperitoneal (VP) shunt is generally performed for the control of hydrocephalus. This study aimed to reveal the safety and efficacy of an endoscopic third ventriculostomy (ETV) for hydrocephalus in brainstem gliomas.

Methods

Six patients who had pontine glioma with hydrocephalus underwent an ETV between May 2010 and November 2015. In all the cases, there were one or more symptoms of hydrocephalus (headache, nausea, vomiting, or lethargy). Retrospective review of these patients was performed using the medical records and neuroimagings.

Result

The ETV was performed safely and there were no intraoperative complications in all patients. The mean follow-up period was 12.3 months. An immediate symptomatic relief of hydrocephalus and an adequate control of symptoms were achieved without a VP shunt in all patients.

Conclusions

The ETV is considered to be an effective and safe procedure for the treatment of hydrocephalus in brainstem gliomas. Determining the ventriculostomy site according to the preoperative MRI in each case is considered to be important for the safe procedure.
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Metadata
Title
Endoscopic third ventriculostomy for hydrocephalus in brainstem glioma: a case series
Authors
Natsuki Kobayashi
Hideki Ogiwara
Publication date
01-07-2016
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 7/2016
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3065-7

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