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Updated: Jun 16, 2026
14:59
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Shunt dependence: myths and facts.
Igor Lima Maldonado1, Charles-Ambroise Valery, Anne-Laure Boch
1Division of Neurological Surgery, Gui de Chauliac Hospital, University of Montpellier I, Montpellier, France. imaldonado@terra.com.br
Acta Neurochirurgica
|January 21, 2010
Summary
Shunt removal may be possible for patients with hydrocephalus after endoscopic third ventriculostomy, even following long-term cerebrospinal fluid diversion. This literature review discusses the potential for shunt-free lives in select cases.
Area of Science:
- Neurosurgery
- Neurology
- Medical Science
Background:
- Patients with hydrocephalus often require long-term cerebrospinal fluid (CSF) diversion via shunts.
- It is commonly believed that a shunt-free life is unattainable for chronically shunted patients.
Purpose of the Study:
- To explore the possibility of shunt removal in patients previously treated for hydrocephalus.
- To review the current medical literature regarding shunt independence after endoscopic third ventriculostomy (ETV).
Main Methods:
- A comprehensive literature review was conducted.
- Analysis of existing studies on ETV and shunt outcomes was performed.
Main Results:
- Evidence suggests that shunt removal can be achieved in some patients after ETV.
- Successful shunt independence has been reported even after extended periods of CSF diversion.
Conclusions:
- Endoscopic third ventriculostomy offers a potential pathway to shunt independence for select hydrocephalus patients.
- Further research and case studies are warranted to optimize patient selection and outcomes for shunt removal.
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