Outcome of Endoscopic Third Ventriculostomy (ETV)
Keywords:
TV = Endoscopic third ventriculostomy, complications., CSF = Cerebrospinal Fluid.Abstract
Objective: To know the surgical outcome of endoscopic third ventriculostomy (ETV) in non communicating hydrocephalous.
Materials and Methods: This cross sectional descriptive study was done in the department of neurosurgery PGMI / Hayatabad Medical Complex, Peshawar, from 2nd February 2011 to 1st march 2012. A total of 35 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. Hydro-cephalous was diagnosed on CT scan brain. The information regarding patient demographical details, causes of hydrocephalus and complications of procedure were documented in patient’s Performa. The data was analyzed by SPSS version 17. Frequency and percentage was calculated for categorical variables. Mean ± SD was calcu-lated for age. Results were presented as tables.
Results: A total of 35 patients with non-communicating hydrocephalous were included in the study. Out of 35 patients, there were 22 (62.8%) males and 13 (37.21%) females. The mean age was 21 years. Etiologically tuber-culous meningitis was the commonest cause of non communicating hydrocephalous. Post-operatively CSF leak-age was present in 3 (8.6%) patients, pseudomeningocele in 2 (5.7%) patients, transient memory loss in 1 (2.8%) and pneumo-cephalous in 1 (2.8%).
Conclusion: 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.
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