Secondary endoscopic third ventriculostomy in myelodysplastic patients with hydrocephalus due to shunt malfunction: systematic review
Keywords:
endoscopic third ventriculostomy; myelomeningocele; hydrocephalusAbstract
Hydrocephalus occurs in 20% of patients with myelomeningocele at birth, reaching up to 85% after surgical repair. With the use of the endoscopic third ventriculostomy, the long-term morbidity and mortality inherent to the ventriculoperitoneal shunt can be avoided, making it an attractive alternative. A systematic review was carried out to evaluate the role of secondary endoscopic third ventriculostomy in myelodysplastic patients with hydrocephalus due to shunt malfunction. Thirteen articles were chosen, which included a total of 197 patients. The success rate presented a wide range (50%-100%, average 69,9%). In conclusion, despite the limited evidence, secondary endoscopic third ventriculostomy can be considered an attractive alternative for the management of selected myelodysplastic patients with hydrocephalus due to shunt malfunction. Studies with greater statistical strength are needed to issue clear recommendations.
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Copyright (c) 2025 Ernesto Enrique Enrique Horta-Tamayo, Diana Rosa Ortega-Raez, Luis Cesar Acosta-González, Amanda Carla Saquisili-Reyes, Alfredo Carlos Rodríguez-Portelles, Martha Suárez-Cruz
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