Role of Endoscopic Third Ventriculostomy in Shunt Malfunction
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چکیده
Shunt placement was a standard treatment for patients with hydrocephalus. It is indicated for both communicating and noncommunicating types of hydrocephalus and for various etiologies of hydrocephalus, including infection; congenital malformations, such as aqueductal stenosis, congenital cysts, mega cisterna magna, and Arnold-Chiari malformation; hemorrhage; and tumor. The risk of shunt malfunction is quite high: 25 to 40% in the first year after shunt placement, 4 to 5% per year thereafter, and 81% of shunted patients require revision after 12 years. Therefore, it is considered that shunt failure is almost inevitable during a patient’s life.1–3 Endoscopic third ventriculostomy (ETV) for hydrocephalus is an important advancement for patients with hydrocephalus. The results are different when it is performed after shunt failure (secondary ETV) than when it is
منابع مشابه
Comparing the Efficiency of Two Treatment Methods of Hydrocephalus: Shunt Implantation and Endoscopic Third Ventriculostomy
Introduction: Hydrocephalus is one of the most common diseases in children, and its treatment requires brain operation. However, the pathophysiology of the disease is very complicated and still unknown. Methods: Endoscopic Third Ventriculostomy (ETV) and Ventriculoperitoneal Shunt (VPS) implantation are among the common treatments of hydrocephalus. In this study, Cerebrospinal Fluid (CSF) hyd...
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In March of 2000, my family and I moved to Mbale, Uganda, to help Children’s United Rehabilitation Effort International (CURE) International develop a neurosurgical hospital for children. It became immediately apparent that hydrocephalus was an enormous problem in this part of the world. Based on the numbers of infants younger than 1 year of age presenting to our hospital with hydrocephalus fro...
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تاریخ انتشار 2017