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ISSN 1729-6935 (Electronic)
16 de abril

2019, Number 273

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16 de abril 2019; 58 (273)

Endoscopic ventriculocisternostomy results in patients with obstructive hydrocephalus

Díaz-Villalvila FC, Pérez HD

Language: Portugués
References: 28
Page: 66-72
PDF size: 437.48 Kb.


ABSTRACT

Introduction: Endoscopic third ventriculostomy (ETV) is a neurosurgical technique that involves perforating the floor of the third ventricle with the aim of restoring the hydrodynamics of the cerebrospinal fluid. It represents the first choice of treatment in patients with obstructive hydrocephalus. Objective: To describe the results of Endoscopic third ventriculostomy in patients with Obstructive hydrocephalus. Methods: Observational, descriptive and cross sectional study of 47 patients with Obstructive hydrocephalus, whose were performed the ETV, from 2008 to 2018 at the HMC: ¨Dr. Carlos J. Finlay¨. Results: The most frequent cause of Obstructive hydrocephalus were tumors, 78,72%. There was performed elective surgery in 72.34% of cases and as an only procedure in the majority of patients. The main complication was stromal closure, which occurred in 4 patients. The success of ETV was of 97,87%. Conclusions: ETV was a minimally invasive procedure, whose applications offered good results in hydrocephalic patients. The technique was performed urgently or electively and combined with other endoscopic procedures. Its implementation showed a low percentage of morbidity and mortality and excellent therapeutic success.


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