Comparision of endoscopic third ventriculostomy alone combined with choroid plexus cauterization

COMPARISION OF ENDOSCOPIC THIRD VENTRICULOSTOMY ALONE AND COMBINED WITH CHOROID PLEXUS CAUTERIZATION NGUYEN THANH DO NGUYEN DUY KHAI... The 7-month –old boy, the largement circumferenc

COMPARISION OF ENDOSCOPIC THIRD VENTRICULOSTOMY ALONE AND COMBINED WITH CHOROID

PLEXUS CAUTERIZATION

NGUYEN THANH DO NGUYEN DUY KHAI

Abbreviations

• CPC =choroid plexus cauterization;

• ETV = endoscopic third ventriculostomy;

• PIH = postinfectious hydrocephalus;

• NPIH = nonpostinfectious hydrocephalus;

• PHH = posthemorrhagic hydrocephalus;

Introduction

• Sir Walter Dandy (1918): cauterizing of the

choroid plexus in 4 children

• 1950s - 1980s: neuroendoscopy was restricted because of high morbidity and mortality

• 1995 : Pople reported 116 children who had

CPC between 1973 and 1992

Warf, MD

ANATOMY

PHYSIOLOGY

Shunt

ETV

ETV/CPC

Obtruction age > 1

Obstruction

age < 1

All hydrocephalus obstruction communication

The 7-month –old boy, the largement circumference head (51cm), bulging fontanelle, splitting

of the cranial

sutures.

Case Study

• The ETV–CPC is more successful than ETV

alone in infants younger than 1 year of age

• ETV–CPC may be the best option for treating hydrocephalus in infants