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Successful Endoscopic Third Ventriculostomy in a Patient with 40 years of Ventriculoperitoneal Shunt Dependency Since Infancy: a Case Report

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Specialty Pediatrics
Date 2024 Dec 18
PMID 39692859
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Abstract

Ventriculoperitoneal shunt malfunction is a common complication in patients with lifelong hydrocephalus. We present a case of a 40-year-old man who successfully underwent endoscopic third ventriculostomy (ETV) for shunt malfunction following neonatal meningitis. Despite long-term shunt dependency and an infectious etiology, ETV effectively managed his hydrocephalus, probably due to aqueductal stenosis and preserved cerebrospinal fluid absorption. This suggests that ETV is a viable option for adult hydrocephalus patients experiencing shunt malfunction, even those with lifelong shunt dependency and a history of infectious etiology.

References
1.
Texakalidis P, Tora M, Wetzel J, Chern J . Endoscopic third ventriculostomy versus shunt for pediatric hydrocephalus: a systematic literature review and meta-analysis. Childs Nerv Syst. 2019; 35(8):1283-1293. DOI: 10.1007/s00381-019-04203-2. View

2.
Pande A, Lamba N, Mammi M, Gebrehiwet P, Trenary A, Doucette J . Endoscopic third ventriculostomy versus ventriculoperitoneal shunt in pediatric and adult population: a systematic review and meta-analysis. Neurosurg Rev. 2020; 44(3):1227-1241. DOI: 10.1007/s10143-020-01320-4. View

3.
Sainte-Rose C, Piatt J, Renier D, Pierre-Kahn A, Hirsch J, Hoffman H . Mechanical complications in shunts. Pediatr Neurosurg. 1991; 17(1):2-9. DOI: 10.1159/000120557. View

4.
Kestle J, Drake J, Milner R, Sainte-Rose C, Cinalli G, Boop F . Long-term follow-up data from the Shunt Design Trial. Pediatr Neurosurg. 2001; 33(5):230-236. DOI: 10.1159/000055960. View

5.
OBrien D, Javadpour M, Collins D, Spennato P, Mallucci C . Endoscopic third ventriculostomy: an outcome analysis of primary cases and procedures performed after ventriculoperitoneal shunt malfunction. J Neurosurg. 2005; 103(5 Suppl):393-400. DOI: 10.3171/ped.2005.103.5.0393. View