XXXX after Endoscopic Third Ventriculostomy for a Failed Shunt in Spina Bifida: Case Report and Review of the Literature.

@entity1 @entity3570 @entity410 @entity4089 @entity1276 @entity9229 @entity73 @entity1645 @entity16 @entity9960 @entity1017 @entity2588
BACKGROUND: Secondary endoscopic third ventriculostomy (ETV) for the management of shunt failure may be efficacious, though it may be followed by more frequent complications (including @entity73 , e.g. @entity2588 ) compared to primary ETV. These complications are usually underreported in the literature. AIM: We report a case of secondary @entity2588 after ETV for the management of shunt failure in a young @entity1 with @entity1276 associated with @entity9960 . METHODS: A 25-year-old @entity1 affected by @entity1276 and @entity9960 was admitted for secondary ETV for the management of shunt failure. The endoscopic procedure was preferred over shunt revision based on good results of secondary ETV, especially in @entity1 with @entity1276 associated with @entity1645 and @entity3570 . RESULTS: Despite the surgery being uneventful, the @entity1 had early (postoperative @entity410 ) and late (secondary @entity2588 ) complications. In the early postoperative period, she received external ventricular drainage followed by VP shunt reimplantation 2 weeks later. There was no @entity16 , but 1 month after the ETV she reported secondary @entity2588 and @entity1017 . Laboratory investigations ruled out @entity4089 , which had been treated with @entity9229 administration with no efficacy since the @entity1 was still without regular periods 1 year later. CONCLUSION: ETV may be followed by endocrinological complications like @entity2588 that are rarely reported.
