J Korean Neurosurg Soc.  2015 Feb;57(2):119-122. 10.3340/jkns.2015.57.2.119.

The Efficacy Analysis of Endoscopic Third Ventriculostomy in Infantile Hydrocephalus

• He Z
• An C
• Zhang X
• He X
• Li Q

• KMID: 2191193
• DOI: http://doi.org/10.3340/jkns.2015.57.2.119

Abstract

OBJECTIVE
To investigate the efficacy of endoscopic third ventriculostomy (ETV) for infantile hydrocephalus.
METHODS
Retrospectively reviewed the 17 infantile hydrocephalus cases who were treated with ETV between July 2009 and June 2013. The study includes 17 patients (4 Han and 13 Hui) between the ages of 51 and 337 days. Five cases with encephalitis history and 2 cases with cerebral hemorrhage, with the remaining 10 cases congenital hydrocephalus. ETVs were performed for all patients with 1 case failing because the severe ventricle inflammatory adhesion, excessive exudation, and vague basilar artery.
RESULTS
Among the 16 successful cases 7 cases improved remarkably : heads and ventricles reduced and cerebral cortexes thickening morphologically. The ventricles of the remaining cases were unchanged.
CONCLUSION
The ethnic minority account for the majority of the patients in this study. ETV is effective for infantile obstructive hydrocephalus.

Keyword

Endoscopic third ventriculostomy; Infant; Obstructive hydrocephalus

MeSH Terms

Basilar Artery
Cerebral Cortex
Cerebral Hemorrhage
Encephalitis
Head
Humans
Hydrocephalus*
Infant
Retrospective Studies
Ventriculostomy*

Figure

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  Fig. 1 A: Under a endoscope, the mamillary bodies (MB) and basilar artery (BA) are clear to see through the enlarged diaterma. B: The orificium fistulae (OF) in 5 mm diameter. C and D: The Lilliquest membrane (LM) is opened through the orificium fistulae.

• 

  Fig. 2 A and B: The preoperative MRI (axial and sagittal view) shows enlarged ventricular system, tonsillar hernia, and compressed brain stem. C and D: The postoperative MRI (axial and sagittal view) shows the ventricular system diminished and brain stem compression relieved.

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  Fig. 3 A and B: The preoperative MRI (axial and sagittal view) shows an enlarged ventricular system and a thin cerebral mantle. C and D: The postoperative MRI (axial and sagittal view) shows a diminished ventricular system, cerebral mantle thickened.

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