Villalonga, Juan F;
Saenz, Amparo;
Pailler, José I;
Castillo, Andrea L;
Gomar Alba, Mario;
Domenico, Solari;
Campero, Alvaro;
... Cinalli, Guiseppe; + view all
(2025)
Endoscopic third ventriculostomy plus valveless catheter in the treatment of low-pressure hydrocephalus.
Turkish Neurosurgery
, 35
(6)
pp. 830-838.
10.5137/1019-5149.jtn.47801-24.2.
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Abstract
AIM: To evaluate the outcomes in low-pressure hydrocephalus (LPH) following an endoscopic third ventriculostomy, and placement of a valveless ventriculoperitoneal or ventriculoatrial shunt catheter. MATERIAL and METHODS: This novel surgical technique was assessed in a prospective case series at a single center between December 2020 and December 2022. Patients were selected for the hybrid procedure based on the Pang?Altschuler diagnostic criteria for LPH. Those with normal or high-pressure hydrocephalus or less than six months of follow-up were excluded. All patients were evaluated clinically (Karnofsky performance status [KPS]) and radiologically (standardized set of images) in the preoperative and postoperative period, and their outcome was categorized as excellent, temporary improvement, or poor. RESULTS: This case series comprised 16 patients. The mean postoperative improvement in KPS was 56 points. All patients showed improved KPS. All follow-up scans showed radiological improvement. System dysfunction and the need for a shunt with a valve were detected in 18.75% of cases (n=3). The outcome was excellent in 81.25% of cases (n=13), and temporary improvement in 18.75% (n=3). CONCLUSION: The presented series demonstrated that the hybrid procedure effectively treats LPH and has minimal number of complications.
| Type: | Article |
|---|---|
| Title: | Endoscopic third ventriculostomy plus valveless catheter in the treatment of low-pressure hydrocephalus |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.5137/1019-5149.jtn.47801-24.2 |
| Publisher version: | https://doi.org/10.5137/1019-5149.jtn.47801-24.2 |
| Language: | English |
| Additional information: | This is an Open Access article published under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). |
| Keywords: | Endoscopic, Hydrocephalus, Shunt, Low-pressure hydrocephalus, Valveless |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10218166 |
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