Neuro-Endoscopic Management of Multiloculated Hydrocephalus

Fadl, Khaled; Kasim, Abdin; Abo Zeid, Waleed

doi:10.21608/smj.2018.31720

Neuro-Endoscopic Management of Multiloculated Hydrocephalus

Document Type : Original Article

Authors

¹ Department of Neurosurgery, Faculty of Medicine, Sohag University.

² Department of Neurosurgery, Faculty of Medicine, Sohag University

10.21608/smj.2018.31720

Abstract

OBJECTIVE: The aim of this study is to evaluate the role of endoscopy in management of multiloculated hydrocephalus.
PATIENTS AND METHODS: We reviewed 30 consecutive patients during the period from January 2012 to December 2015 with multiloculated hydrocephalus who underwent neuroendoscopic approach for treatment, in Sohag university Hospital. The patients’ clinical outcomes, and complications were reported.
RESULTS: There were 30patients (12male18 female).endoscopic septum pellucidum fenestration was done in 9 cases and endoscopic ventricular septal fenestration was done in 21 cases; The success rate was achieved in 25 cases (83.3%). The remaining 5 cases (16.7%) needed a re-do the procedure due to the presence of residual compartments not opened and not drained by the existing shunts, no immediate or late postoperative complications and there was no mortality.
CONCLUSION:Neuroendoscopic management for multiloculated hydrocephalus can restore communication between isolated intraventricular compartments transforming them into single cavity and one intraventricular catheter can be used , reduce the number of surgical procedures, and improving the quality of life of the patient

Keywords

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