Hydrocephalus
Conditions
Brief summary
Endoscopic third ventriculostomy in cases of hydrocephalus provide less invasive and safe technique than ventriculoperitoneal Shunt also decrease complications of ventriculoperitoneal Shunt
Detailed description
Endoscopic third ventriculostomy (ETV) is a minimally invasive neurosurgical procedure used to treat obstructive hydrocephalus in children. By creating an opening in the floor of the third ventricle, the surgeon establishes a new pathway for cerebrospinal fluid (CSF) to bypass the blockage and drain naturally, potentially eliminating the need for a traditional brain shunt.
Interventions
PROCEDUREFenestration of the floor of the third ventricle
Endoscopic third ventriculostomy of the third ventricle of the brain
PROCEDUREEndoscopic third ventriculostomy of the brain third ventricle
Surgeons insert a rigid endoscope through a small burr hole in the skull into the ventricular system. They use a catheter or laser to puncture a tiny, precise opening in the floor of the third ventricle
PROCEDUREEndoscopic third ventriculostomy
Surgeons insert a rigid endoscope through a small burr hole in the skull into the ventricular system. They use a catheter or laser to puncture a tiny, precise opening in the floor of the third ventricle
Sponsors
Sohag University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Months to 18 Years
Healthy volunteers
No
Inclusion criteria
* cases hydrocephalus diagnosed by CT or MRI.in pediatric age group up to 18 years * Both sex (males and females) will be included.
Exclusion criteria
* cases with hydrocephalus associated with csf infection or hemorrhage * Previously operated VP shunt or ETV . * Mult cystic hydrocephalus
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in manifestation according to ETVSS endoscopic third ventriculostomy success score with assement of level of consciousness degree of papiledema and severity of headache | 6 month | ETVSS ETV success score is predictive tool used to estimate ETV success based on factors like age etiology previous shunt other pathologies The score is expressed as a number from 0 to 90 with assement of level of consciousness degree of papiledema and severity of headache Score 70 indicate an estimated 70 % chance of success |
Countries
Egypt
Contacts
CONTACTAhmed Esmael Marzouk, Resident
Outcome results
None listed