Prevalence and Pattern of Initial Complications Following Endoscopic Third Ventriculostomy for Hydrocephalus Obstructor

Abstract

Objective: The purpose of this study is to analyse the complication rate of endoscopic third ventriculostomy for obstructive hydrocephalus. Study Design: Descriptive study Place and Duration: This descriptive study was conducted at Dow International Medical College and Hospital OJHA Campus, Karachi in the period from May, 2022 to October, 2022. Methods: Total 97 male and female patients aged 1-30 presented. Patients had obstructive hydrocephalus were included. With consent, all patients provided age, sex, and BMI. CT and brain MRI were performed. In all reported instances, a third ventriculostomy was done under general anaesthesia after symptoms had become apparent. Two-week follow-up examined post-treatment efficacy and complications. SPSS 26.0 analyzed all data. Results: 66 (68.04%) of the 97 patients were male, while 31(31.96%) were female. The most frequent illness was aqueductal stenosis, which was seen in 64 (65.97%), followed by posterior fossa tumours in 15 (15.5%), blocked VP shunts in 13 (13.4%), and CSF ascites in 5 (5.2%) instances. Frequency of complication was found in 22 (22.7%) cases, most prevalent was CSF leak, followed by meningitis, seizures and bleeding. There were 3 deaths (3.1%) among all cases. Conclusion: In this research, we found that endoscopic third ventriculostomy reduced the risk of complications and death for patients with obstructive hydrocephalus. Keywords: Obstructive Hydrocephalus, Complications, Endoscopic Third Ventriculostomy, Mortality

Neurotechnology Applied to Medicine. Analysis of Patients Undergoing Neuro Endoscopy in Triventricular Obstructive Hydrocephalus

“…Jones described aborted ETVs due to bleeding that hinders premaxillary fenestration, causing intraoperative bradycardia. This complication, also described by Handler, results from excessive irrigation, leading to intracranial hypertension and reflex bradycardia (Lundar & Due-Tønnessen, 2021;Mijderwijk et al, 2019;Ujjan et al, 2022).…”