Review Article
Volume 12 Issue 9 - 2020
Endoscopic Third Ventriculostomy and Cauterization of the Choroid Plexus with Rigid Endoscope: Revision and Technical Note
Artur Henrique Galvão Bruno Da Cunha*
Pediatric Neurosurgeon and Preceptor in the Medical Residency Program in Neurosurgery at Hospital de Restauração, Recife, Pernambuco, Brazil
*Corresponding Author: Artur Henrique Galvão Bruno Da Cunha, Pediatric Neurosurgeon and Preceptor in the Medical Residency Program in Neurosurgery at Hospital de Restauração, Recife, Pernambuco, Brazil.
Received: July 20, 2020; Published: August 10, 2020


Background: The treatment of hydrocephalus in childhood continues to be one of the great challenges of modern paediatric neurosurgery. The different forms and technologies of shunt derivations while saving children also mean another disease, often as lethal as the underlying disease. The alternative of endoscopic third-ventriculo cisternostomy (ETV) has not shown satisfactory results in some cases of hydrocephalus, such as in children under 6 months of age, myelomeningocele’s patients, post-infection, among others. The addition of choroid plexus coagulation (CPC) seems to open a new perspective in the endoscopic treatment of hydrocephalus.

Objective: In this article, the author intends to share his personal experience in the treatment of hydrocephalus by ETV and CPC using a rigid endoscope. Technical aspects before, during and after surgery will be presented and commented on.

Methods: The author summarizes the principles that led to the indication of coagulation of the choroid plexus by endoscopic approach and presents a brief bibliographic review discussing the advantages and disadvantages of the method, results obtained and complications. The operative technique is described and commented.

Results: Although there is still much discussion about the effectiveness of choroid plexus coagulation in the endoscopic treatment of hydrocephalus, the author has obtained some good results especially in shunt dysfunctions, in hydranencephaly/extreme hydrocephalus and in some cases of hydrocephalus in the first year of life.

Conclusion: Despite some controversies, the international literature and the author's experience have shown that the addition of choroid plexus coagulation to the third endoscopic ventriculostomy can improve results in selected cases of hydrocephalus even with the use of rigid endoscopes.

Keywords: Hydrocephalus; Endoscopy; Choroid Plexus; Coagulation


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Citation: Artur Henrique Galvão Bruno Da Cunha.“Endoscopic Third Ventriculostomy and Cauterization of the Choroid Plexus with Rigid Endoscope: Revision and Technical Note”. EC Neurology 12.9 (2020): 17-24.

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