Dysfunction of endoscopic third ventriculostomy in children





Neuroendoscopy, Endoscopic third ventriculostomy, Newborn, Obstructive Hydrocephalus, ventriculoperitoneal shunt


Introduction: Neuroendoscopy is particularly useful as an adjunct in the treatment of hydrocephalus. CSF physiology differs among neonates, children and adults leading to different and conflicting results in the treatment of hydrocephalus using neuroendoscopy. The aim of our study was to review the literature regarding to analyze predictive clinical and imaging models available and discuss specific aspects of the endoscopic approach to hydrocephalus in infants

Methods: Review of the medical literature to analyze predictive clinical and imaging models available and discuss specific aspects of the endoscopic approach to hydrocephalus children. Data of our series of ETV were analyzed. The patients were categorized in 3 groups: Group A (< 6 months of age), Group B (from 6 months to 1 year-old) and group C ( >1 year-old).

Results: Group A - 12 patients , group B - 17 patients and group C - 85 patients. The etiology of hydrocephalus was tumors in 33 (29 %), aqueduct stenosis in 33 (29 %), cerebral malformations in 24 (21 %). The ETVSS in the low, moderate and high ETVSS groups was respectively 40%, 70.9% and 92.6%, the actual success rate: 58%, 65% and 86%. The complication rates in groups A, B and C were 33 %, 24 %, and 8 %, respectively (p=0.022).

Conclusion: Endoscopic third ventriculostomy provides very good results for a number of indications in children. Every effort should be made to optimize the selection of surgical candidates on the basis of their clinical features.


Download data is not yet available.

Author Biographies

Luciano Lopes Furlanetti

Department of Neurosurgery, King's College Hospital NHS Foundation Trust, Denmark Hill, London, UK

Marcelo Volpon Santos

Division of Pediatric Neurosurgery, Department of Surgery and Anatomy, University Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil

Ricardo Santos de Oliveira

President of the Brazilian Pediatric Neurosurgery Society (2019-2021) Member of the International Society for Pediatric Neurosurgery (ISPN) Member of the Asian-Australasian Society of  Pediatric Neurosurgery (AASPN) Member of Internacional Federation of Neuroendoscopy (IFNE) Division of Pediatric Neurosurgery - São Lucas Hospital Associate Professor / Livre-Docente - Division of  Neurosurgery Hospital das Clínicas - School of Medicine of Ribeirao Preto University of Sao Paulo Av. Bandeirantes, 3900, Monte Alegre, CEP 14049-900, Ribeirao Preto, Sao Paulo, Brazil  

Matheus Fernando Manzolli Ballestero

Department of Medicine, Federal University of São Carlos, São Carlos, Brazil



How to Cite

Furlanetti LL, Santos MV, de Oliveira RS, Ballestero MFM. Dysfunction of endoscopic third ventriculostomy in children . Arch Pediat Neurosurg [Internet]. 2019Aug.10 [cited 2020Sep.27];1(1(September-December):8-17. Available from: http://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/5

Most read articles by the same author(s)

1 2 > >>