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Related Experiment Video

Updated: Feb 19, 2026

Author Spotlight: A Single-Entry Point Endoscopic Intraventricular Approach for Third Ventriculostomy and Pineal Biopsy
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Visual outcome after endoscopic third ventriculostomy for hydrocephalus.

Ji-Ho Jung1, Yong-Hyun Chai1, Shin Jung1

  • 1Department of Neurosurgery, Chonnam National University Hwasun Hospital & Medical School, 322, Seoyang-ro, Hwasun-eup, Hwasun-gun, Jeollanam-do, 519-763, Republic of Korea.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|November 5, 2017
PubMed
Summary

Endoscopic third ventriculostomy (ETV) improves most hydrocephalus symptoms, but visual issues may persist. Careful monitoring of visual symptoms related to increased intracranial pressure is crucial for better patient outcomes.

Keywords:
Endoscopic third ventriculostomyHydrocephalusOrbital MRI findingsVisual outcome

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Area of Science:

  • Neurosurgery
  • Ophthalmology
  • Radiology

Background:

  • Endoscopic third ventriculostomy (ETV) is a common treatment for hydrocephalus.
  • While ETV often resolves hydrocephalus symptoms, visual disturbances can persist post-procedure.
  • This study investigates visual outcomes and orbital magnetic resonance imaging (MRI) findings after ETV.

Observation:

  • Fifty patients underwent ETV for hydrocephalus between 2006 and 2016.
  • Abnormal orbital MRI findings included prominent subarachnoid space around optic nerves and vertical optic nerve tortuosity.
  • Twelve percent of patients (6/50) experienced visual symptoms, with four having abnormal MRI findings.

Findings:

  • The overall ETV success rate was 80%.
  • Severe visual impairment was associated with poor outcomes.
  • Three patients with visual symptoms did not show improvement, including two with severe impairment.

Implications:

  • Visual symptoms in hydrocephalus patients require careful monitoring and management.
  • Orbital MRI can identify abnormalities potentially linked to visual deficits after ETV.
  • Optimizing management of increased intracranial pressure is key to improving visual outcomes in hydrocephalus patients.