The typical treatment for the life-threatening condition of
hydrocephalus has been revolutionized with advanced minimally invasive
endoscopic approaches. Standard practice for children or adults with
"water on the brain" or hydrocephalus, has been to insert a shunt, a
tube-like structure from inside the brain to the abdominal compartment.
These devices, although very effective, are known to carry a
substantial life-long risk from problems including infection and
blockage. With the development of small caliber endoscopes, minimally
invasive techniques are now possible in the brain. One procedure that
has gained wide spread appeal replaces the need for placing shunts in
patients with hydrocephalus. This minimally invasive procedure, called
endoscopic third ventriculostomy (ETV), involves making a small 3-4 mm
communication between the third ventricle and the subarachnoid space.
The procedure can be done is as little as 15 minutes through a small
incision behind the hairline. The majority of patients stay in the
hospital for only 1 night. Because there is no implanted device there
is no risk of shunt infection or mechanical malfunction.
ensuing OR Live segment a young child with hydrocephalus is treated
with ETV. You will meet the child and his family, listen to a detailed
discussion regarding the treatment and how ETV compares with shunting,
hear about the potential risks of ETV, and learn which patients are
candidates for this exciting and newest available treatment for
hydrocephalus. Additionally, you will actually witness this minimally
invasive surgery as an observer in the operating room and through the
lens of the endoscope within the brain.