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50.Assessing the Effectiveness of Neuro-Endoscopic Procedures in the Treatment of Hydrocephalus
Haider Ali1, Muhammad Mushtaq2, Waheed Alam2 and Ali Haider1
ABSTRACT
Objective: This study investigated the efficacy of neuro-endoscopic procedures as treatment modalities for this disorder, specifically endoscopic third ventriculostomy (ETV), endoscopic ventriculocisternostomy (EVC), and choroid plexus coagulation (CPC).
Study Design: Retrospective study
Place and Duration of Study: This study was conducted at the Department of neurosurgery LRH Peshawar from January 2023 to June, 2023.
Materials and Methods: We retrospectively evaluated the long-term outcomes, patient selection criteria, post-operative complications, and integration of neuro-endoscopic procedures in 88 patients suffering from hydrocephalus presented during 05 study years.
Results: Demographic characteristics of patients indicated that majority of patients were under 10 years old, 29 (32.95%) out of 88 patients were male and 61 patients (69.31%) were already on chemotherapy (p<0.05). Mean pre-operative ventricular cyst volume was 1.30+0.33 cm3 while, post-operative was substantially reduced to 0.48+0.10 cm3 (p<0.05). Clinical outcomes for hydrocephalus patients revealed that 61 patients (69.31%), experienced successful symptom relief (p<0.05), 13 patients (14.77%) experienced partial relief while, and 11 patients (12.50%) experienced complications. Their average quality of life score was 82 (p<0.05) but 14.77% required some form of re-intervention and three patients passed away. Infection was the most common complication (p<0.05), affecting nine patients (10.22%).
Conclusion: Neuro-endoscopic is the minimally invasive, safe, effective and compatible procedure as treatment modality for hydrocephalus. It offered substantial benefits and favorable long term outcome compared to conventional shunt systems.
Key Words: Brain tumor; Intra-cranial pressure; Minimally invasive surgery; Shunt system; Ventriculocisternostomy.
Citation of article: Ali H, Mushtaq M, Alam W, Haider A. Assessing the Effectiveness of Neuro-Endoscopic Procedures in the Treatment of Hydrocephalus. Med Forum 2023;34(8):216-220. doi:10.60110/medforum.340850.