Distribution and Determinants of Endoscopic third ventriculostomy (ETV) at a Specialized Hospital in Dhaka City

Authors

  • SK Sader Hossain Professor & Head, Department of Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka
  • Md Abdullah Alamgir Assistant Professor, Department of Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka
  • Ferdous Ara Islam Research Fellow, Department of Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka
  • Sheikh Mohammed Ekramullah Associate Professor, Department of Paediatric Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka
  • Shudipto Kumar Mukharjee Assistant Professor, Department of Paediatric Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka
  • ATM Asadullah Assistant Professor, Department of Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka
  • Sarwar Morshed Alam Registrar, Department of Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka
  • - Kalimuddin Emergency Medical Officer, Department of Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka
  • Kaiser Haroon Assistant Professor, Department of Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka
  • Misbah Uddin Ahmed Junior Consultant, Department of Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka
  • Mahmudul Huq Medical Officer, Department of Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka

DOI:

https://doi.org/10.3329/jninb.v1i1.22939

Keywords:

endoscopic third ventriculostomy (ETV), obstructive hydrocephalus, aqueductal stenosis

Abstract

Background: Endoscopic third ventriculostomy (ETV) is the process of intra cranial CSF diversion to relieve the pressure inside the ventricles. This allows the cerebrospinal fluid to flow directly to the basal cisterns, thereby shortcutting any obstruction. It is used as an alternative to a cerebral shunt surgery.

Objectives: To observe the Endoscopic third ventriculostomy (ETV) with causal factors and outcome.

Methodology: The study was conducted in the Department of Neurosurgery in National Institute of Neurosciences (NINS) during the period from June, 2013 to August, 2014. All the study subjects included in the study were selected for endoscopic third ventriculostomy (ETV) following clinical and radiological diagnosis of hydrocephalus or raised ICP irrespective of age, sex and causal factors. The patients were followed post operatively to follow the outcome.

Result: ETV was performed among 38 males and 35 females with a mean age of 24.67 years. Three major causal factors for ETV were aqueductal stenosis, posterior fossa SOL and CP angle tumour observed in 25 (34.3%), 22(30.2%), 11(15.1%) cases respectively. The successful ETV was done in 49 (67.1%) patients varied widely by diagnosis and patient age. Other 32.9% had suffered from several complications like local CSF drainage, local infection, meningitis and subarachnoid haemorrhage and treated conservatively.

Conclusion: Endoscopic third ventriculostomy (ETV) is a safe and successful procedure in the management obstructive hydrocephalus.

J. Natl Inst. Neurosci Bangladesh 2015;1(1):5-7

Downloads

Download data is not yet available.
Abstract
1191
PDF
908

Author Biography

SK Sader Hossain, Professor & Head, Department of Neurosurgery, National Institute of Neurosciences & Hospital, Dhaka



Downloads

Published

2015-04-28

How to Cite

Hossain, S. S., Alamgir, M. A., Islam, F. A., Ekramullah, S. M., Mukharjee, S. K., Asadullah, A., Alam, S. M., Kalimuddin, .-., Haroon, K., Ahmed, M. U., & Huq, M. (2015). Distribution and Determinants of Endoscopic third ventriculostomy (ETV) at a Specialized Hospital in Dhaka City. Journal of National Institute of Neurosciences Bangladesh, 1(1), 5–7. https://doi.org/10.3329/jninb.v1i1.22939

Issue

Section

Original Research Articles