Endoscopic third ventriculostomy in XXXX .

@entity1 @entity4008 @entity1276 @entity428 @entity1906
INTRODUCTION: We report our preliminary experience with two cases of @entity1906 ( @entity1906 ) in which endoscopic third ventriculostomy (ETV) was performed to treat non-communicating @entity1276 . For many years, the insertion of ventriculoperitoneal shunts has been the standard treatment for @entity1276 in @entity1 with @entity1906 , although the indications for and timing of surgery are not uniformly accepted. Shunt insertion is associated with a high incidence of complications, particularly with long-term follow-up. An alternative treatment for @entity1276 in this group of @entity1 would clearly be of great benefit. The indications for ETV have increased in the last decade, and there are reports of some effectiveness of the procedure in @entity1 with @entity1276 due to @entity4008 . To our knowledge, ETV has not been described in the management of @entity1906 . METHODS: We report the early results of our preliminary experience with ETV in two @entity1 who presented with neurological compromise due to @entity1276 and @entity428 . The clinical context and pre-operative investigation of these @entity1 are presented. The emphasis is placed on the distinction between communicating and non-communicating pathologies as a guide to management options. We detail our surgical findings and the peculiar endoscopic challenges that the condition presented to us. Follow-up in these @entity1 included clinical and investigational data suggesting early effectiveness of the procedure in converting non-communicating @entity1276 into a communicating one, which can then be treated medically. DISCUSSION: Endoscopic third ventriculostomy is presented as a new application of a procedure accepted for other indications in the treatment of non-communicating @entity1276 . There are particular aspects of the use of this procedure related to the unique pathology of @entity1906 that are significantly different. We explain our rationale for endoscopy in these @entity1 , and suggest a protocol in which endoscopy may play a role in the management of @entity1 with @entity428 due to tuberculous @entity1276 .
