Article
Clinical Neurology
Jose L. Peiro, Soner Duru, Blanca Fernandez-Tome, Lucas Peiro, Jose L. Encinas, Francisco M. Sanchez-Margallo, Marc Oria
Summary: Using a large animal model, researchers assessed the feasibility of prenatal endoscopic third ventriculostomy (ETV) for the treatment of hydrocephalus. They successfully performed ETV in 64% of cases, demonstrating the potential for this innovative technique in preventing fetal brain damage.
Article
Clinical Neurology
Sanjeev Kumar, Debabrata Sahana, Lavlesh Rathore, Amit Jain, Manish Tawari, Deepak Singh, Rajiv Sahu, Satya Narayan Madhariya
Summary: This study explored an alternative route, called supraorbital, subfrontal extra-axial ETV (EAETV), to overcome inherent issues with conventional ETV. The study included 10 patients with obstructive triventricular hydrocephalus and evaluated the postoperative outcomes. The results showed that EAETV is a feasible, safe, and effective surgical alternative.
JOURNAL OF NEUROSURGERY
(2023)
Review
Clinical Neurology
Syawaluddin Hilman, Eppy Buchori Aristiady, Leni Santiana, Dian Komala Dewi, Harry Galuh Nugraha
Summary: Patients with TVFB have a higher success rate in ETV surgery, and TVFB has a significant impact on surgical success.
WORLD NEUROSURGERY
(2022)
Review
Clinical Neurology
Federico Bianchi, Giorgio Ducoli, Federica Moriconi, Daniela Pia Rosaria Chieffo, Carmelo Anile, Gianpiero Tamburrini
Summary: Long-standing overt ventriculomegaly in adults (LOVA) is a type of hydrocephalus that develops during childhood and manifests symptoms in adulthood, with controversies still existing. By collecting a series of symptomatic LOVA patients successfully treated with ETV, it was found that ETV has achieved rewarding results in neurological and neurocognitive outcomes.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Nicola Gorgoglione, Elena Fazzari, Concetta Alafaci, Francesca Vitulli, Rossella Zaccaria, Filippo F. Angileri, Antonino Germano, Felice Esposito
Summary: This case describes a 12-year-old male patient who underwent an endoscopic third-ventriculostomy due to a malfunctioning V-P shunt, which resulted in an obstruction caused by the external ventricular catheter tip post-surgery. The catheter was shortened and ultimately removed after 4 days, with the patient remaining symptom-free and shunt-free during a 2-year follow-up.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Thomas J. Zwimpfer, Nicholas Salterio, Michael A. Williams, Richard Holubkov, Heather Katzen, Mark G. Luciano, Abhay Moghekar, Sean J. Nagel, Jeffrey H. Wisoff, James Golomb, Guy M. McKhann, Richard J. Edwards, Mark G. Hamilton
Summary: This study aimed to determine the efficacy of primary endoscopic third ventriculostomy (ETV) on gait and cognition in adults with chronic obstructive hydrocephalus. The results showed that primary ETV can safely improve symptoms of gait and cognitive dysfunction in these patients. Both gait velocity and global cognition significantly improved post-ETV, with rare cases of worsening.
JOURNAL OF NEUROSURGERY
(2022)
Article
Clinical Neurology
Sanjeev Kumar, Chandra Dev Sahu, Debabrata Sahana
Summary: This study introduces a new treatment method, extra-axial endoscopic third ventriculostomy, for managing hydrocephalus caused by vertebrobasilar dolichoectasia. This method can overcome the anatomical constraints produced by the dolichoectatic vessel and establish cerebrospinal fluid communication between the third ventricle and subarachnoid space.
WORLD NEUROSURGERY
(2023)
Review
Neurosciences
Yad Ram Yadav, Jitin Bajaj, Shailendra Ratre, Nishtha Yadav, Vijay Parihar, Narayan Swamy, Ambuj Kumar, Ketan Hedaoo, Mallika Sinha
Summary: Endoscopic third ventriculostomy (ETV) is effective for treating obstructive and selected cases of communicating hydrocephalus. Preoperative imaging and surgical technique are crucial, while postoperative care and repeated drainage can enhance outcomes.
Review
Clinical Neurology
Gerardo D. Legaspi, Adrian I. Espiritu, Abdelsimar T. Omar
Summary: Endoscopic third ventriculostomy (ETV) in patients with tuberculous meningitis (TBM) has a success rate of 59%, technical failure rate of 5%, and complication rate of 15%. Non-communicating hydrocephalus on imaging is associated with increased success. Further high-quality randomized, prospective studies are needed to define the role of ETV in TBM.
NEUROSURGICAL REVIEW
(2021)
Article
Clinical Neurology
Jose Javier Guil-Ibanez, Tesifon Parron-Carreno, Leandro Saucedo, Jose Masegosa-Gonzalez
Summary: This article discusses the application of endoscopic third ventriculostomy (ETV) in the treatment of shunt malfunction caused by obstructive hydrocephalus. The ETV procedure offers a potential alternative to shunt devices, transforming hydrocephalus from a chronic condition to a curable disease.
ACTA NEUROCHIRURGICA
(2023)
Article
Clinical Neurology
Nobuyuki Takeshige, Hisaaki Uchikado, Hidenobu Yoshitake, Tetsuya Negoto, Munetake Yoshitomi, Kiyohiko Sakata, Motohiro Morioka
Summary: The study found that in adult patients with BPC, a decrease in ventricular size after ETV was associated with positive clinical outcomes, while headache was the most common symptom and prepontine scarring was observed in the ETV failure group. Therefore, careful confirmation of prepontine scarring and to-and-fro movements of the third ventricle after ETV is important when performing ETV on adult patients with BPC.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2021)
Article
Clinical Neurology
Kyoji Tsuda, Satoshi Ihara
Summary: In this study, the presence of transependymal edema (TEE) on preoperative magnetic resonance imaging was shown to be a significant predictor of endoscopic third ventriculostomy (ETV) success in pediatric patients, with a success rate of 95% in those with TEE compared to 58% in those without TEE. Multivariate analysis confirmed TEE as a reliable predictor of ETV success, suggesting its potential usefulness in pediatric hydrocephalus cases.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Pawel Tabakow, Artur Weiser, Malgorzata Burzynska, Przemyslaw Blauciak
Summary: Endoscopic third ventriculostomy (ETV) performed before tumor removal can prevent the occurrence of secondary hydrocephalus, reduce early postoperative complications, and contribute to better outcomes in patients with tumors of the third ventricle and posterior fossa.
NEUROSURGICAL REVIEW
(2022)
Article
Clinical Neurology
Tyler G. Atkins, David R. Peters, Sarah C. Jernigan, Martin M. Henegar, Mark D. Van Poppel, Scott D. Wait
Summary: The study suggests that simple neuroendoscopic procedures can be safely and effectively performed at an ambulatory surgery center, offering reduced costs compared to hospitals for suitable patients.
WORLD NEUROSURGERY
(2021)
Review
Neurosciences
Ronnie E. Baticulon, Michael C. Dewan
Summary: Pediatric hydrocephalus is a significant global burden, especially in low- and middle-income countries, and is commonly treated with ventriculoperitoneal shunting. However, the combined use of ETV and CPC has shown promise in allowing patients to live without a shunt. Success of ETV+CPC is highest in infants older than 1 month with noninfectious hydrocephalus, while failure is commonly seen within 3-6 months post-surgery in certain patient populations. Long-term studies are needed to further evaluate functional and neurocognitive outcomes.