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Case Reports
. 2023 Nov;165(11):3289-3296.
doi: 10.1007/s00701-023-05777-2. Epub 2023 Aug 30.

Neuronavigated foraminoplasty, shunt removal, and endoscopic third ventriculostomy in a 54-year-old patient with third shunt malfunction episode: how I do it

José Javier Guil-Ibáñez  1   2   3 , Tesifón Parrón-Carreño  4 , Leandro Saucedo  5 , José Masegosa-González  5
Affiliations
Case Reports

Neuronavigated foraminoplasty, shunt removal, and endoscopic third ventriculostomy in a 54-year-old patient with third shunt malfunction episode: how I do it

José Javier Guil-Ibáñez et al. Acta Neurochir (Wien). 2023 Nov.

Abstract

Background: The application of endoscopic third ventriculostomy (ETV) for the treatment of obstructive hydrocephalus in shunt malfunction represents a paradigm shift, as it allows hydrocephalus to be transformed from a chronic condition treated with an artificial device to a curable disease.

Methods: We present a 54-year-old male with a diagnosis of idiopathic Sylvian aqueduct stenosis treated with shunt. The patient presented to our institution with symptoms of shunt malfunction and an increase in ventricular size on imaging, which was his third episode throughout his life. Through a right precoronal approach, with prior informed consent from the patient, we performed foraminoplasty, endoscopic third ventriculostomy, and finally removal of the shunt system.

Conclusion: ETV shows promise as a viable treatment option for shunt malfunction in noncommunicating obstructive hydrocephalic patients. Its potential to avoid VPS-related complications, preserve physiological CSF circulation, and provide an alternative drainage pathway warrants further investigation.

Keywords: Aqueduct stenosis; Endoscopic third ventriculostomy; Foraminoplasty; Hydrocephalus.

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References

    1. Bilginer B, Oguz KK, Akalan N (2009) Endoscopic third ventriculostomy for malfunction in previously shunted infants. Childs Nerv Syst 25:683–688 - DOI - PubMed
    1. Boschert J, Hellwig D, Krauss JK (2003) Endoscopic third ventriculostomy for shunt dysfunction in occlusive hydrocephalus: long term follow up and review. J Neurosurg 98:1032–1039 - DOI - PubMed
    1. Cinalli G, Salazar C, Mallucci C, Yada JZ, Zerah M, Sainte-Rose C (1998) The role of endoscopic third ventriculostomy in the management of shunt malfunction. Neurosurgery 43:1323–1327 - PubMed
    1. Ferguson SD, Michael N, Frim DM (2007) Observations regarding failure of cerebrospinal fluid shunts early after implantation. Neurosurg Focus 22(4):E7 - DOI - PubMed
    1. Gomar-Alba M, Parrón-Carreño T, Guil-Ibáñez JJ, Vargas-López AJ, Castelló-Ruiz MJ, García-Pérez F, Masegosa-González J (2023) Role of endoscopic aqueductoplasty with panventricular stent in the treatment of isolated fourth ventricle during shunt malfunction: 2-dimensional operative video. Oper Neurosurg (Hagerstown, Md). https://doi.org/10.1227/ons.0000000000000682 . Advance online publication

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