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Endoscopic Third Ventriculostomy in the Treatment of Hydrocephalus in Pediatric Patients

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Advances and Technical Standards in Neurosurgery

Part of the book series: Advances and Technical Standards in Neurosurgery ((NEUROSURGERY,volume 31))

Abstract

Advances in surgical instrumentation and technique have lead to an extensive use of endoscopic third ventriculostomy in the management of pediatric hydrocephalus. The aim of this work was to point out the leading aspects related to this technique. After a review of the history, which is now almost one century last, the analysis of the endoscopic ventricular anatomy is aimed to detail normal findings and possible anatomic variations which might influence the correct conclusion of the procedure. The overview of modern endoscopic instrumentation helps to understand the technical improvements that have contributed to significantly reduce the operative invasiveness. Indications are analysed from a pathogenetic standpoint with the intent to better understand the results reported in the literature. A further part of the paper is dedicated to the neuroradiological and clinical means of outcome evaluation, which are still a matter of debate. Finally a review of transient and permanent surgical complications is performed looking at their occurrence in different hydrocephalus etiologies.

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Authors and Affiliations

  1. Pediatric Neurosurgical Unit, Catholic University Medical School, Rome, Italy

    C. Di Rocco, L. Massimi & G. Tamburrini

  2. Neuroendoscopy Unit, Department of Pediatric Neurosurgery, Santobono-Pausilipon Children’s Hospital, Naples, Italy

    G. Cinalli & P. Spennato

  3. Department of Pediatric Neuroradiology, Santobono-Pausilipon Children’s Hospital, Naples, Italy

    E. Cianciulli

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Di Rocco, C., Cinalli, G., Massimi, L., Spennato, P., Cianciulli, E., Tamburrini, G. (2006). Endoscopic Third Ventriculostomy in the Treatment of Hydrocephalus in Pediatric Patients. In: Pickard, J.D., et al. Advances and Technical Standards in Neurosurgery. Advances and Technical Standards in Neurosurgery, vol 31. Springer, Vienna. https://doi.org/10.1007/3-211-32234-5_4

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