ENDOSCOPIC THIRD VENTRICULOSTOMY (ETV)

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Abstract

Objective: To know the surgical outcome of endoscopic third ventriculostomy
(ETV) in non communicating hydrocephalous. Design: Cross sectional descriptive study.
st Setting: Neurosurgery department of Hayatabad Medical Complex, Peshawar. Period: 1 March
2010 to 1st march 2011. Materials and methods: A total of 41 patients with non-communicating
hydrocephalous, irrespective of gender discrimination were included in this study. Patients
below two years of age and hydrocephalus with infected CSF or hemorrhage were excluded.
Hydrocephalous was diagnosed on CT scan brain. The information regarding patient
demographical details, causes of hydrocephalus and complications of procedure was
documented in patient’s Performa. The data was analyzed by SPSS version 16. Frequency and
percentage was calculated for categorical variables. Mean ± SD was calculated for age. Results
were presented as tables. Results: A total of 41 patients with non-communicating
hydrocephalous were included in the study. Out of 41 patients, there were 26(63.41%) males and
15(36.58%) females. The mean age was 21 years. Etiologically tuberculous meningitis was the
commonest cause of non communicating hydrocephalous. Post-operatively CSF leakage was
present in 4(9.75%) patients, pseudomeningocele in 2(4.87%) patients, transient memory loss in
2(4.87%) patients and pneumocephalous in 1(2.43%) patient. Conclusions: The complications
of endoscopic third ventriculostomy are transient. Those patients who meet the criteria,
endoscopic third ventriculostomy offers the possibility of freedom from shunt dependency.