Endoscopic third Ventriculostomy for Malfunction of Ventriculoperitoneal Shunt; Our Experience

Authors

  • Md Moshiur Rahman Assistant professor, department of Neurosurgery, Holy family Red Crescent medical college hospital, Bangladesh.
  • Robert Ahmed Khan Medical Officer, Department of Neurosurgery, BSMMU, Bangladesh
  • Md Mahmudur Rahman Associate professor (current charge) Department of Dermatology & Venereology Holy Family Red Crescent Medical College
  • Md Ziauddin Assistant registrar National institute of neuroscience and hospital, Bangladesh
  • Muhtamim Chowdhury Department of Neurosurgery, Bangladesh Medical College, Bangladesh
  • Md Bashir Ahammed Assistant Registrar, Sylhet MAG Osmani Medical College, Bangladesh
  • SIM Khairun Nabi Khan Associate professor, Department of Neurosurgery, BSMMU, Bangladesh
  • Md Motasimul Hasan Assistant Professor, Department of Neurosurgery, Dhaka Medical College Hospital

DOI:

https://doi.org/10.3329/bjns.v12i1.64006

Keywords:

Endoscopic third ventriculostomy, Malfunction, Ventriculoperitoneal shunt.

Abstract

Background: Ventriculoperitoneal (VP) shunt is a common procedure for treating hydrocephalus of various causes. Malfunction of VP shunt like obstruction, infection etc. are encountered with revision surgeries which may not have favourable outcome. Endoscopic third ventriculostomy (ETV) in such cases is challenging, and can be salvageable in appropriate cases.

Objective: Aim of the study is to analyze the role of endoscopic third ventriculostomy as an alternative to shunt revision for malfunctioning and infected ventriculoperitoneal (VP) shunts.

Method: We report 54 cases from 2012 to 2018 in private setup, retrospectively we analysed in all ages including children and adults. Minimum follow up period was 2 years.

Results: In 2 cases we did ETV twice and in 1 case of thalamic glioma where the patient was shunt dependent probably due to post radiotherapy adhesion ETV was successful. The success rate of ETV was 88.9% in our study.

Conclusion: Success rate of ETV depends on various factors and careful selection of patients; CSF infection and communicating hydrocephalus are of poor prognosis. ETV is the feasible alternative for the treatment of failed VP shunt cases in non-communicating hydrocephalus.

Bang. J Neurosurgery 2022; 12(1): 20-23

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Published

2023-09-04

How to Cite

Rahman, M. M., Khan, R. A. ., Rahman, M. M. ., Ziauddin, M., Chowdhury, M., Ahammed, M. B. ., Khan, S. K. N. ., & Hasan, M. M. . (2023). Endoscopic third Ventriculostomy for Malfunction of Ventriculoperitoneal Shunt; Our Experience. Bangladesh Journal of Neurosurgery, 12(1), 20–23. https://doi.org/10.3329/bjns.v12i1.64006

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Original Articles