Endoscopic Third Ventriculostomy

George I. Jallo, M.D.; Karl F. Kothbauer, M.D.; I. Rick Abbott, M.D.

Disclosures

Neurosurg Focus. 2005;19(6) 

In This Article

Abstract

The traditional treatment for all forms of hydrocephalus has been the implantation of ventricular shunt systems; however, these systems have inherent tendencies toward complications such as malfunction and infection. A significant advance in the treatment of hydrocephalus has been the evolution of endoscopy. The recent technological advances in this field have led to a renewed interest in endoscopic third ventriculostomy as the treatment of choice for obstructive hydrocephalus. Although several different endoscopes are available, the authors favor a rigid one to perform a blunt fenestration of the third ventricle floor. This description of the technique stresses the nuances for successful completion of this procedure.

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