Endoscopic third ventriculostomy in post traumatic hydrocephalus- Institutional experience
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 2
Abstract
Introduction Hydrocephalus is a known sequelae in traumatic brain injury patients It may occur early or late and presents with dementia urinary incotinence and difficulty in walking as described by Hakim and Adams There are two distinct types of normal pressure hydrocephalus one is idiopathic most commonly seen in the elderly age groups and the other is secondary due to a cerebro vascular accident trauma or surgery The idiopathic type may not respond to the CSF diversion procedure but the secondary type which responds to CSF diversion procedure Our study aims at exploring the option of ETV in these patients not making them shunt dependentMaterials and Methods The patients with traumatic brain injury admitted in the dept of neurosurgery between January 2012 and January 2018 were included into the study Congenital hydrocephalus and secondary hydrocephalus due to spontaneous SAH and tumours were excluded 14 patients were identified and if there was some improvement in their condition after CSF tap test were planned for endoscopic third ventriculostomyResults Out of the 14 patients 2 were females and the remaining 12 were males 2 did not improve at all 12 had some improvement out of which 3 had a failure and underwent a vp shunt Hence there were 5 failures out of 14 which made 357 Mitchel et al and Michelangelo et al reported 7275 success rates in their study which is similar to our resultsConclusion ETV is an option which can be offered to patients with secondary hydrocephalus The chances of failure though present the procedure is minimally invasive and improves CSF dynamicsKeywords Secondary hydrocephalus due to trauma Endoscopic third ventriculostomy Trauma induced hydrocephalus
Authors and Affiliations
Geover J. Lobo, Madhukar T. Nayak
Keywords
Related Articles
- EP ID EP490428
- DOI 10.18231/2455-8451.2018.0015
- Views 96
- Downloads 0
Sexual dysfunction in epilepsy patients attending a tertiary care hospital
Introduction Seizures and antiepileptic drugs both can contribute to sexual dysfunction Seizures can modify sexual behavior by altering the release of hypothalamic or pituitary hormones by disrupting the function of limb...
Serum Calcium and Magnesium Levels do not correlate with Severity of Major Depressive Disorder
Major Depressive Disorder (MDD) is one of the leading cause of morbidity amongst psychiatric illness. Pathophysiology of MDD is still a matter of research and not much is known about it. Although, it is certain that neu...
Level of stress and its contributing factors among first year medical students
Background: Stress in medical students is a well documented fact that cannot be denied and more or less it is system oriented. Through a minimal amount of stress is essential to ignite a healthy and competitive spirit, b...
Intracranial dural AV fistula- An unfolding enigma
An Intracranial dural arteriovenous fistulas DAVF is an abnormal direct connection fistula between a meningeal artery and a meningeal vein or dural venous sinus cortical vein 1 When there are multiple fistulas they are...
Minimally invasive spine surgery: An alternate corridor for various spinal procedures – Our institute experience
Introduction Minimally invasive spine procedures are minimally destructive procedures which minimizes surgery related morbidity by avoiding excessive muscle dissection and reduce tissue trauma during surgery The indicati...