Author/Editor		Munda, Matic; Spazzapan, Peter; Bošnjak, Roman; Velnar, Tomaž
Title		Endoscopic third ventriculostomy in obstructive hydrocephalus
Type		članek
Vol. and No.		Letnik 8, št. 14
Publication year		2020
Volume		str. 3039-3049
ISSN		2307-8960 - World journal of clinical cases
Language		eng
Abstract		Background: The endoscopic third ventriculostomy (ETV) is a neuroendoscopical procedure that represents a more suitable alternative to the extracranial shunting. It consists of fenestrating the floor of the third ventricle and thus establishing a free flow of the cerebrospinal fluid from the ventricles to the site of resorption in the subarachnoid space. It offers a more physiological solution and a chance at a shunt-free life for children with hydrocephalus. The main indication for the procedure is obstructive hydrocephalus, however, it can also be useful in patients with other forms of hydrocephalus. Case summary: We present a treatment flow of a 9-year-old patient, diagnosed with an obstructive hydrocephalus due to tectal glioma that was successfully treated with an ETV. We review the important factors influencing the success rate such as age, aetiology, shunt history, preoperative planning and visualisation of the basilar artery. Conclusion: Even though the ETV effectively controls obstructive hydrocephalus in more than 75% of all cases, the overall success rate of the procedure varies and could be approved by the correct preoperative patient selection.
Keywords		hydrocephalus endoscopic third ventriculostomy neuroendoscopy hidrocefalus endoskopska tretja ventrikulostomija nevroendoskopija