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- Title
Management of Complex Hydrocephalus.
- Authors
Gabbita, Abhirama; Raju, Subodh; Gabbita, Abhirama Chandra
- Abstract
<bold>Background: </bold>Management of complex/multiloculated/septated hydrocephalus is challenging. Neuroendoscopy has been well-established when compared to multiple shunt placements in management of multiloculated hydrocephalus (MH). The main aim of neuroendoscopy is to convert multiple locules into a single locule and drain it by either third ventriculostomy or ventriculoperitoneal shunt.<bold>Objective: </bold>The objective is to reduce the number of surgical procedures and improve the quality of life. Neuroendoscopy avoids multiple shunt placement and need for revision of shunt.<bold>Methods: </bold>Literature review regarding natural history, pathogenesis, classification and management of complex/uni/multiloculated hydrocephalus was extensively done and our minimal experience with these cases has been taken into consideration.<bold>Conclusion: </bold>Neuroendoscopy when combined with frameless neuronavigation is reliable, accurate, and extremely useful in maintaining orientation and localizing the appropriate fenestration site in MH where anatomical landmarks are grossly distorted.
- Subjects
HYDROCEPHALUS; CEREBROSPINAL fluid shunts; OPERATIVE surgery; NATURAL history; LITERATURE reviews
- Publication
Neurology India, 2021, Vol 69, p346
- ISSN
0028-3886
- Publication type
journal article
- DOI
10.4103/0028-3886.332284