Open Access

Endoscopy in the treatment of slit ventricle syndrome

  • Authors:
    • Jiaping Zheng
    • Guoqiang Chen
    • Qing Xiao
    • Yiyang Huang
    • Yupeng Guo
  • View Affiliations

  • Published online on: August 18, 2017     https://doi.org/10.3892/etm.2017.4973
  • Pages: 3381-3386
  • Copyright: © Zheng et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The present study aimed to investigate the efficacy of endoscopy in the treatment of post‑shunt placement for slit ventricle syndrome (SVS). Endoscopic surgery was performed on 18 patients with SVS between October 2004 and December 2012. Sex, age, causes of the hydrocephalus, ventricular size and imaging data were collected and analyzed. All patients were divided into two groups according to ventricular size and underwent endoscopic surgeries, including endoscopic third ventriculostomy (ETV), endoscopic aqueductoplasty and cystocisternostomy. All treated patients were observed postoperatively for a period of 2 to 3 weeks, and outpatient follow‑up was subsequently scheduled for >12 months. Clinical results, including catheter adherence, shunt removal and complications, were analyzed during the follow‑up period. The success rate of endoscopic surgery was indicated to be 82.7%. Syndromes caused by aqueductal stenosis in 15 patients who underwent ETV were relieved; however, syndromes in the 3 patients with cerebral cysticercosis, suprasellar arachnoid cysts, pinea larea glioma and communicating hydrocephalus, respectively, were not relieved and underwent shunt placement again. Brain parenchyma, choroid plexus and ependymal tissue were the predominant causes for catheter obstruction and the obstruction rate was indicated to be 77.8% (14/18). Complications, such as pseudobulbar paralysis, infection and intraventricular hemorrhage arose in 3 patients. The present study indicates that endoscopic treatments are effective and ETV may be considered as a recommended option in the treatment of post‑shunt placement SVS in hydrocephalus patients.

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October-2017
Volume 14 Issue 4

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Zheng J, Chen G, Xiao Q, Huang Y and Guo Y: Endoscopy in the treatment of slit ventricle syndrome. Exp Ther Med 14: 3381-3386, 2017
APA
Zheng, J., Chen, G., Xiao, Q., Huang, Y., & Guo, Y. (2017). Endoscopy in the treatment of slit ventricle syndrome. Experimental and Therapeutic Medicine, 14, 3381-3386. https://doi.org/10.3892/etm.2017.4973
MLA
Zheng, J., Chen, G., Xiao, Q., Huang, Y., Guo, Y."Endoscopy in the treatment of slit ventricle syndrome". Experimental and Therapeutic Medicine 14.4 (2017): 3381-3386.
Chicago
Zheng, J., Chen, G., Xiao, Q., Huang, Y., Guo, Y."Endoscopy in the treatment of slit ventricle syndrome". Experimental and Therapeutic Medicine 14, no. 4 (2017): 3381-3386. https://doi.org/10.3892/etm.2017.4973