title: Endoscopic third ventriculostomy for obstructive hydrocephalus: Outcome analysis of 120 consecutively treated patients from a developing country.
abstract: OBJECTIVE
  Endoscopic third ventriculostomy (ETV) for the treatment of obstructive hydrocephalus is a relatively new concept amongst neurosurgeons of the developing world. Therefore, this study was conducted to report our experience, patient selection, success rates and complications of ETV and compare our results with the literature from the developed countries.
  
  
  METHODS
  We performed ETV on 120 patients at our centre and prospectively collected their clinical data on pre designed questionnaires. Success was defined as clinical improvement on 3rd month post operative clinic visit. The data was analyzed using SPSS version 20.
  
  
  RESULTS
  There were 79 male and 41 female patients. The mean age was 36.1 ± 14.3 years. Overall, ETV was successful in 107 (89.2%) of patients. 4 patients had intra operative bleeding, 4 patients developed CSF leaks while 1 patient had a transient gaze palsy. There was no mortality.
  
  
  CONCLUSIONS
  ETV is a very effective treatment modality for treating obstructive hydrocephalus in well selected patients and can be successfully practiced by neurosurgeons in the developing countries.
authors.affiliation: Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan. Electronic address: babarkhan08@gmail.com.
authors.forename: Muhammad Babar
authors.initials: MB
authors.lastname: Khan
authors.affiliation: Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan. Electronic address: muhammad.riyaz@aku.edu.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Riaz
authors.affiliation: Section of Neurosurgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan. Electronic address: ather.enam@aku.edu.
authors.forename: Syed Ather
authors.initials: SA
authors.lastname: Enam
mesh_terms: D000328:Adult; D003906:Developing Countries; D004724:Endoscopy; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D007223:Infant; D008297:Male; D010154:Pakistan; D011183:Postoperative Complications; D020542:Third Ventricle / Q000601:surgery*; D014696:Ventriculostomy / Q000379:methods*
keywords: Aqueductal stenosis; Complications; Developing country; Endoscopic third ventriculostomy; Obstructive hydrocephalus; Outcomes; Shunt