Faheem Usmani, Zubair Ahmed, Amir Aziz.
Efficacy of Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus.
Pak J Neuro Surg Jan ;19(4):252-5.

Objective: To assess efficacy of Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus. Study Design: Cross – sectional observational study. Materials and Methods: This study was conducted from July 2012 to June 2014 at the department of Neurosurgery, PGMI, Lahore General Hospital, Lahore. Patients with obstructive hydrocephalus due to aqueductal stenosis, tectal and non-tectal tumor and already shunted patients for obstructive hydrocephalus presented with blocked shunt were included in the study. The exclusion criteria consisted of patient’s age < 6 months, previous history of ETV, recurrent tumor, patients with congenital hydrocephalus and secondary to meningitis or intra ventricular hemorrhage. Endoscopic third Ventriculostomy was performed in all patients. Success, complications and mortality was noted. Data was analyzed by descriptive statistics using SPSS software version 17. Results: Out of 60 patients, 34 (56.6%) were males and 26 (43.4%) were females, ranging in age from 1 – 45 years. The maximum numbers of patients were in their two decade of life. ETV had successful outcome in 46 (76.7%) patients. Complications were observed in 14 (23.3%) cases including inadequate Ventriculostomy (8.33%), CSF leak (1.7%), ventricular bleed (1.7%), meningitis (1.7%) and seizures (6.67%). Two patients (3.33%) died in our study on follow up Conclusion: Endoscopic Third Ventriculostomy is a very effective procedure for the treatment of obstructive hydrocephalus. Abbreviations: ETV: Endoscopic Third Ventriculostomy. CSF: Cerebrospinal Fluid. OHC: Obstructive Hydrocephalus.

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