Microsurgical third ventriculocisternostomy as an alternative to ETV: report of two cases.
OBJECTIVE
To describe a microsurgical alternative to endoscopic third ventriculocisternostomy.


METHODS
Two children with shunt-dependent hydrocephalus and multiple shunt revisions were considered candidates for third ventriculocisternostomy (TVS). Because of slit ventricles, an endoscopic approach was not possible and, therefore, both patients received a microsurgical TVS by a supraorbital approach.


RESULTS
In both cases, microsurgical TVS was successful and the patients became shunt free.


CONCLUSIONS
Microsurgical TVS by a supraorbital craniotomy is a viable alternative to endoscopic TVS in selected cases.
van Lindert
Erik J
EJ
Department of Neurosurgery, Radboud University Nijmegen Medical Center, P. B. 9101, 6500 Nijmegen, The Netherlands. e.vanlindert@nch.umcn.nl
D000293:Adolescent; D002648:Child; D006801:Humans; D006849:Hydrocephalus / Q000473:pathology* / Q000601:surgery*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008866:Microsurgery / Q000379:methods*; D020542:Third Ventricle / Q000473:pathology / Q000601:surgery*; D015898:Tomography Scanners, X-Ray Computed; D014696:Ventriculostomy / Q000379:methods*