Surgical Outcomes of Third Ventriculostomy in Patients of Obstructive Hydrocephalus

Authors

  • Sohaib Ali, Tauseef Ullah, Muhammad Ibrahim Afridi, Tabraiz Wali Shah, Shafiq Ur Rehman, Hanif Ur Rahman, Idris Khan, Muhammad Taimur Khan, Ehsan Sayyed

DOI:

https://doi.org/10.53350/pjmhs22169391

Abstract

Introduction: Hydrocephalus is the accumulation of excess cerebrospinal fluid (CSF) in the ventricular system of the brain.

Objectives: The main objective of this study is to find the surgical outcomes of third ventriculostomy in patients of obstructive hydrocephalus.

Material and methods: The data was collected through non-probability consecutive sampling technique. There were 60 patients which were included in the study. A flexible endoscopic telecamera and a Bugbee electrocautery wire and monitor were used for the procedure. The main causes of hydrocephalus have been identified. history of meningitis, ventriculitis, or illness prior to the development of hydrocephalus; x-rays indicating separation or septa within the ventricles; or postoperative residue of hemosiderin or the presence of yellowish deposits were all taken into consideration of post infectious hydrocephalus.

Results: There were 49 male and 11 female patients. The mean age of the patients was 39.38 ± 11.2 years. 27 (45%) patients had hydrocephalus due to tumors, 21 (35%) patients had aqueductal stenosis while 12 (20%) patients had benign cysts. Intraoperative bleeding occurred in 24 patients. ETV was successful in 54/60 – 90percent of the patients. A CSF leak was recognised in 09 patients. 07 patient developed a transient gaze palsy which had resolved when he came for his follow up visit on 10th post operative day.

Practical implication: Use effective method for treatment of hydrocephalus in hospitals

Conclusion: It is concluded that endoscopic third ventriculostomy, in general, is a very effective method of treatment for hydrocephalus.

Keywords: Obstructive Hydrocephalus, ETV, Outcome, CSF, Brain, Ventricular

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How to Cite

Sohaib Ali, Tauseef Ullah, Muhammad Ibrahim Afridi, Tabraiz Wali Shah, Shafiq Ur Rehman, Hanif Ur Rahman, Idris Khan, Muhammad Taimur Khan, Ehsan Sayyed. (2022). Surgical Outcomes of Third Ventriculostomy in Patients of Obstructive Hydrocephalus. Pakistan Journal of Medical & Health Sciences, 16(09), 391. https://doi.org/10.53350/pjmhs22169391

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