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Related Concept Videos

Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
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Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
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Anatomy of the Brain: Ventricles01:18

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Updated: May 24, 2026

Endoscopic Third Ventriculostomy and Pineal Biopsy from a Single Entry Point
03:13

Endoscopic Third Ventriculostomy and Pineal Biopsy from a Single Entry Point

Published on: June 28, 2024

Redo third ventriculostomy.

Dieter Hellwig1, Mario Giordano, Christoph Kappus

  • 1International Neuroscience Institute, Hannover, Germany. hellwig@ini-hannover.de

World Neurosurgery
|March 3, 2012
PubMed
Summary
This summary is machine-generated.

Repeat endoscopic third ventriculostomy (ETV) is a successful treatment for obstructive hydrocephalus when the initial stoma closes. This endoscopic reventriculostomy offers an 87.5% success rate, often avoiding shunts.

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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

Area of Science:

  • Neurosurgery
  • Hydrocephalus Research
  • Minimally Invasive Procedures

Background:

  • Obstructive hydrocephalus is commonly treated with endoscopic third ventriculostomy (ETV).
  • Stoma reclosure after ETV can occur due to factors like operative technique, stoma size, scarring, or persistent Liliequist membrane.
  • Secondary closure necessitates further intervention to restore cerebrospinal fluid flow.

Purpose of the Study:

  • To evaluate the efficacy of repeat endoscopic third ventriculostomy (ETV) in cases of stoma reclosure.
  • To compare repeat ETV with alternative treatments like ventriculoperitoneal shunting.
  • To determine the success rate of secondary endoscopic reventriculostomy.

Main Methods:

  • Retrospective review of medical records from 1990-2010 for patients treated with ETV.
  • Identification of patients with non-patent ventriculostoma and subsequent repeat ETV or other interventions.
  • Analysis of outcomes for patients undergoing repeat ETV.

Main Results:

  • Out of 148 ETV patients, 14 experienced stoma non-patency.
  • Eight of these 14 patients underwent a successful repeat ETV, achieving an 87.5% success rate.
  • Five patients were treated with ventriculoperitoneal shunts, and one patient died from obstructive hydrocephalus.

Conclusions:

  • Endoscopic reventriculostomy is recommended for secondary stoma closure after ETV.
  • The same operative approach should be utilized for repeat ETV.
  • Consider repeat ETV before resorting to cerebrospinal fluid diversion systems like shunts.