Comparision of endoscopic third ventriculostomy alone combined with choroid plexus cauterization

COMPARISION OF ENDOSCOPIC

THIRD VENTRICULOSTOMY ALONE
AND COMBINED WITH CHOROID

PLEXUS CAUTERIZATION
NGUYEN THANH DO
NGUYEN DUY KHAI


Abbreviations
• CPC =choroid plexus cauterization;
• ETV = endoscopic third ventriculostomy;
• PIH = postinfectious hydrocephalus;
• NPIH = nonpostinfectious hydrocephalus;

• PHH = posthemorrhagic hydrocephalus;


Introduction
• Sir Walter Dandy (1918): cauterizing of the
choroid plexus in 4 children

• 1950s - 1980s: neuroendoscopy was restricted
because of high morbidity and mortality

• 1995 : Pople reported 116 children who had
CPC between 1973 and 1992


Warf, MD

ANATOMY


PHYSIOLOGY


CPC
Shunt

obstruction

Obstruction
age < 1

communication
Obtruction
ETV
age > 1

ETV/CPC

All
hydrocephalus

Case Study

The 7-month –old
boy, the largement
circumference head
(51cm), bulging
fontanelle, splitting
of the cranial
sutures.


CONCLUSIONS
• The ETV–CPC is more successful than ETV

alone in infants younger than 1 year of age
• ETV–CPC may be the best option for treating

hydrocephalus in infants