Effectiveness of endoscopic third ventriculostomy in a resource-constrained setting
Authors:
MORGAN Eghosa
Publication Type: Journal article
Journal: Romanian Journal of Neurology
ISSN Number:
0
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Abstract
Background. Hydrocephalus is a serious condition that, if left untreated, can lead to significant morbidity. While it can affect individuals of all ages, congenital hydrocephalus is more common in children under two years of age. Endoscopic third ventriculostomy (ETV) has gained renewed popularity in recent years, following earlier concerns over complications associated with shunting procedures. Methods. This prospective cohort study was conducted over an 18-month period in a hospital setting and included children under two years of age diagnosed with hydrocephalus. Of the 75 patients initially enrolled, 68 completed the study and were followed for six months post-intervention. Demographic data, including age and sex distribution, were collected. The primary outcome was the success or failure of ETV, assessed at six months following the procedure. Results. Males comprised twice the number of females in the cohort. Most patients were between one and six months of age. The success rate of ETV at six months post-procedure was 73.5%. Conclusion. ETV is an effective treatment for hydrocephalus in children under two years of age, with a promising success rate and potential to reduce dependency on shunting in resource-constrained settings.