EFFICACY OF ENDOSCOPIC THIRD VENTRICULOSTOMY IN NONCOMMUNICATING HYDROCEPHALUS
AbstractBackground: Hydrocephalus is common problem requiring either extra-cranial (shunts) or intracranial (ventriculostomy) diversion of cerebrospinal fluid. Endoscopic third ventriculostomy obviatesall the complications of shunts and has been accepted as the procedure of choice for the treatment ofobstructed hydrocephalus in adults and children because of the minimally invasive nature. This studywas conducted to determine the efficacy of endoscopic third ventriculostomy in the treatment of noncommunicating hydrocephalus. Methods: This cross sectional descriptive study was done inneurosurgery department of Hayatabad Medical Complex, Peshawar, from 2nd February 2011 to 1stmarch 2012. A total of 171 patients with non-communicating hydrocephalous, irrespective of genderdiscrimination and Glasgow coma scale score of 10 and above were included in this study. Patientsbelow one year of age, with lesion in the floor of the third ventricle or near basilar artery, andhydrocephalus with infected CSF or haemorrhage were excluded. Hydrocephalous was diagnosed onCT-scan brain. All the patients were followed up till 72 hours post-operatively for the determination ofeffectiveness in terms of improvement in Glasgow coma scale by at least 2 points. All the abovementioned information including name, age, gender and address were recorded in a predesignedproforma. The data was analysed using SPSS-17. Frequency and percentage was calculated forcategorical variables. Mean±SD was calculated for age. Results: A total of 171 patients with noncommunicating hydrocephalous were included in the study. Out of 171 patients, there were 104(60.8%) males and 67 (39.2%) females. Age ranged from 1–70 years with majority of the patients wasbelow 10 years of age. Majority of the patients had hydrocephalus due to tuberculous meningitis 39.2%of the whole. In 134 (78.4%) patients the procedure was effective. Procedure was more effective inhydrocephalus due to space occupying lesion. Conclusion: Endoscopic third ventriculostomy is a veryeffective procedure for the treatment of non-communicating hydrocephalus.Keywords: Endoscopic third ventriculostomy, non-communicating hydrocephalus, effectiveness, shunt
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