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Indication for endoscopic third ventriculostomy.
[hydrocephalus with stenosis of the aqueduct of sylvius]
Endoscopic
third
ventriculostomy
(
ETV
)
is
increasingly
prevalent
among
pediatric
neurosurgeons
as
the
initial
treatment
for
hydrocephalus
.
The
combination
of
ETV
and
choroid
plexus
cauterization
(
ETV
/
CPC
)
has
improved
the
success
rate
among
infants
with
hydrocephalus
for
whom
ETV
alone
is
much
less
successful
.
In
parts
of
the
developing
world
where
there
are
economic
and
human
resource
constraints
,
this
mode
of
treatment
may
be
more
appropriate
than
the
routine
use
of
shunts
,
which
are
prone
to
failures
that
require
urgent
surgical
treatment
.
Here
we
review
indications
for
the
use
of
ETV
or
ETV
/
CPC
as
the
primary
treatment
for
hydrocephalus
.
Primary
treatment
of
hydrocephalus
by
ETV
can
avoid
shunt-dependence
and
its
complications
for
many
patients
.
Optimal
results
depend
upon
proper
patient
selection
and
the
use
of
combined
ETV
/
CPC
when
treating
infants
.
