Effectiveness of Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus of Different Etiology in Terms of Reduction of Ventricle Diameter

  • Hamayun Tahir Department of Neurosurgery, Qazi Hussain Ahmad Medical Complex, Nowshera Medical College Nowshera MTI kpk.
  • Muhammad Ayaz Department of Neurosurgery, Prime Teaching Hospital, Peshawar Medical College/Irfan General Hospital Peshawar.
  • Mumtaz Ali Department of Neurosurgery, Qazi Hussain Ahmad Medical Complex, Nowshera Medical College Nowshera MTI kpk
  • Naseer Hassan Department of Neurosurgery, Saidu Teaching Hospital, Saidu Medical College Swat.
  • Syed Nasir Shah Department of Neurosurgery, DHQ Hospital Mardan.
  • Samina Feroz Gandhara University, Kabir Medical College Peshawar.

Abstract

Background: Endoscopic techniques are now gaining insight into the management of various neurosurgical pathologies,including Endoscopic third ventriculostomy (ETV), which is a well-accepted technique for obstructive hydrocephalus of variousetiologies.Objective: To determine the effectiveness of endoscopic third ventriculostomy in obstructive hydrocephalus in terms of reductionof third ventricle diameter (width).Material and Method: This descriptive case series study was conducted at the Department of Neuro Surgery, Lady ReadingHospital, from January 2019 to December 2020. A total of 195 patients between age 1- 60 years meeting the inclusion criteriaunderwent endoscopic third ventriculostomy by a single expert neurosurgeon. Effectiveness of endoscopic third ventriculostomywas measured to reduce at least 1 mm or more from the baseline third ventricle diameter (width) after two months of surgery.Results: In our study, 127 (65.12%) patients were male, while 68 (34.87%) were Females. Mean, and S.D. forAge was as 30.05Years + 17.46.The Mean Baseline 3rd Ventricle Diameter was 5.218mm +1.1, whereas on 60th postoperative Day Follow Up, themean 3rd Ventricle Diameter was recorded as 4 .35mm +1.25. The difference in means between the two groups was 0.864 (pvalue<0.0001), which is statistically significant. Effectiveness of Endoscopic Third Ventriculostomy was recorded on 105 (53.84%)patients, whereas in 90 (46.15%) patients, Obstructive Hydrocephalus remained unchanged.Conclusion: Calculated volumetric measurements (e.g., width) from C.T. scans after successful third ventriculostomy can displaya demonstrable reduction in ventricular volume and help evaluate patients postoperatively.Keywords: ETV, Hydrocephalus, stereotactic.
How to Cite
1.
Hamayun Tahir, Muhammad Ayaz, Mumtaz Ali, Naseer Hassan, Syed Nasir Shah, Samina Feroz. Effectiveness of Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus of Different Etiology in Terms of Reduction of Ventricle Diameter. J Saidu Med Coll Swat [Internet]. 1 [cited 2021Dec.4];11(4):185-90. Available from: http://jsmc.pk/index.php/jsmc/article/view/676