Endoscopic third ventriculostomy in cases of hydrocephalus provide less invasive and safe technique than ventriculoperitoneal Shunt also decrease complications of ventriculoperitoneal Shunt
cases hydrocephalus diagnosed by CT or MRI.in pediatric age group up to 18 years
Both sex (males and females) will be included.
cases with hydrocephalus associated with csf infection or hemorrhage
Previously operated VP shunt or ETV .
Mult cystic hydrocephalus
Single group
Fenestration of the floor of the third ventricle
Procedure/SurgeryEndoscopic third ventriculostomy of the third ventricle of the brain
Endoscopic third ventriculostomy of the brain third ventricle
Procedure/SurgerySurgeons 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
Endoscopic third ventriculostomy
Procedure/SurgerySurgeons 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
Changes in manifestation according to ETVSS endoscopic third ventriculostomy success score with assement of level of consciousness degree of papiledema and severity of headache
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
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