Combined Endoscopic Third Ventriculostomy and Choroid Plexus Cauterization as Primary Treatment of Hydrocephalus for Infants in Egypt | ||
| The Medical Journal of Cairo University | ||
| Volume 93, Issue 03, March 2025, Pages 281-287 PDF (966.19 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2025.423299 | ||
| Author | ||
| SAMER SAMY, M.D.* and AHMED ELZEBAK, M.Sc.** . | ||
| Head Neurosurgery Unit, Alexandria University Students’ Hospital, Alexandria* and Alexandria Insurance Hospitals, Alexandria** | ||
| Abstract | ||
| Background: Children depending on shunt in developing countries is a very serious problem. The usage endoscopic third ventriculostomy (ETV) with bilateral choroid plexus cauteri-zation (BCPC) had shown promising resultsin hydrocephalus treatment than ETV alone in infants below 2 years of age. Aim of Study: A retrospective study to evaluate the success of ETV-CPC as primary management of hydrocephalus in in-fants in Egypt. Patients and Method: Twenty three consecutive infants with hydrocephalus requiring treatment for hydrocephalus with ETV-BCPC. Patient data was collected retrospectively. Our re-sults were assessed using life table analysis. Results: Twenty three patients had a completed ETV-BCPC with mean follow-up 13.4 months. The ETV-BCPC procedure was successful in 13 patients (56.5%) from 1st operation, two cases operated within six months reopen stoma (8.7%) and eight cases (34.8%) fail procedure end by shunt. The operative mortality rate was 0%, and there were two cases infections, two cases control convulsions and one case CSF leak end by shunt. Conclusions: Combined ETV/BCPC was better in treating hydrocephalus in infancy avoiding shunt dependence in the ma-jority. | ||
| Keywords | ||
| Third ventriculostomy; Choroid plexus Cauteriza-tion; Hydrocephalus | ||
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