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 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 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 CPC Shunt obstruction Obstruction age < communication Obtruction ETV age > ETV/CPC All hydrocephalus Case Study The 7-month –old boy, the largement circumference head (51cm), bulging fontanelle, splitting of the cranial sutures CONCLUSIONS • The ETV–CPC is more successful than ETV alone in infants younger than year of age • ETV–CPC may be the best option for treating hydrocephalus in infants [...]... Case Study The 7-month –old boy, the largement circumference head (51cm), bulging fontanelle, splitting of the cranial sutures CONCLUSIONS • 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