Tumor Obstructive Hydrocephalus Treated with Endoscopic Third Ventriculostomy in Cameroon


The goal of this work was to report on a series of preoperative endoscopic third ventriculostomy (ETV) performed for obstructive hydrocephalus due to posterior fossa tumors. Eight patients underwent preoperative ETV prior to tumor biopsy or removal for obstructive hydrocephalus related to posterior fossa tumors. All patients underwent surgery in two steps; ETV followed a week later by tumor resection. Clinical, radiological and outcome data were retrospectively reviewed. Eight patients (6 males, 2 females) aged between 8 and 45 years (mean age 24.62 years) suffering from obstructive hydrocephalus due to posterior fossa tumors had ETV prior to tumor removal or biopsy. Five patients were adults while 3 were under 18 years. All patients complained of headaches, seven presented with symptoms of raised intracranial pressure or visual disturbances and four had vomiting or cerebellar disturbance. Computed tomography scan was done in all patients and magnetic resonance imaging in five. Complete tumor removal was achieved in 4 cases and partial removal or biopsy in the remaining 4. ETV was successful in 7 (87.50%) cases but failed in one. Two patients experienced intraoperative transitory bradycardia. Two postoperative complications occurred (one meningitis and one CSF leak). No death related to procedures occurred. The histological diagnosis were as follows: ependymoma (3), medulloblastoma (3), astrocytoma grade II (1) and pineoblastoma (1). Hospital stay ranged from 9 to 21 days (mean, 12.71 days). Follow up range was 4 months to 78.4 months (0.33 to 6.53 years; mean, 46.11 months (3.84 years); median, 41.2 months (3.43 years).

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Ndoumbé, A. , Motah, M. and Takongmo, S. (2015) Tumor Obstructive Hydrocephalus Treated with Endoscopic Third Ventriculostomy in Cameroon. Open Journal of Modern Neurosurgery, 5, 93-99. doi: 10.4236/ojmn.2015.53016.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Santamarta, D., Blázquez, J.A., Maillo, A., Muñoz, A., Caballero, M. and Morales, F. (2003) Analysis of Cerebrospinal Fluid Related Complications (Hydrocephalus, Fistula, Pseudomeningocele and Infection) Following Surgery for Posterior Fossa Tumors. Neurocirugia (Astur), 14, 117-126.
[2] Roth, J., Ram, Z. and Constantini, S. (2015) Endoscopic Considerations Treating Hydrocephalus Caused by Basal Ganglia and Large Thalamic Tumors. Surgical Neurology International, 6, 56.
[3] Chen, C.C., Kasper, E. and Warnke, P. (2011) Palliative Sterotactic Endoscopic Third Ventriculostomy for the Treatment of Obstructive Hydrocephalus from Cerebral Metastasis. Surgical Neurology International, 2, 76.
[4] Azab, W., Al-Sheikh, T. and Yahia, A. (2013) Preoperative Endoscopic Third Ventriculostomy in Children with Posterior Fossa Tumors: An Institution Experience. Turkish Neurosurgery, 23, 359-365.
[5] Rezaee, O., Sharifi, G., Samadian, M., Haddadian, K., Ali-Asgari, A. and Yazdani, M. (2007) Endoscopic Third Ventriculostomy for Treatment of Obstructive Hydrocephalus. Archives of Iranian Medicine, 10, 498-503.
[6] Yadav, Y.R., Parihar, V., Pande, S., Namdev, H. and Agarwal, M. (2012) Endoscopic Third Ventriculostomy. Journal of Neurosciences in Rural Practice, 3, 163-173.
[7] Choi, J.-U., Kim, D.-S. and Kim, S.-H. (1999) Endoscopic Surgery for Obstructive Hydrocephalus. Yonsei Medical Journal, 40, 600-607.
[8] Stachura, K., Grzywna, E., Kwinta, B.M. and Moskata, M.M. (2014) Endoscopic Third Ventriculostomy—Effectiveness of the Procedure for Obstructive Hydrocephalus with Different Etiology in Adults. Videosurgery Miniinv, 9, 586-595.
[9] Sokal, P., Birski, M., Rusinek, M., Paczkowski, D., Zielinski, P. and Harat, A. (2012) Endoscopic Third Ventriculostomy in the Treatment of Hydrocephalus. Videosurgery Miniinv, 7, 280-285.
[10] Furlanetti, L.L., Santos, M.V. and Santos de Oliveira, R. (2013) Neuroendoscopic Surgery in Children: An Analysis of 200 Consecutive Procedures. Arquivos de Neuro-Psiquiatria, 71, 165-170.
[11] Helseth, E., Due-Tønnessen, B., Egge, A., Eide, P.K., Meling, T., Lundar, T. and Frøslie, K.F. (2002) Treatment of Hydrocephalus with Endoscopic Third Ventriculocisternostomy. Tidsskrift for den Norske Laegeforening, 122, 994- 998.
[12] Furlanetti, L.L., Santos, M.V. and de Oliveira, R.S. (2012) The Success of Endoscopic Third Ventriculostomy in Children: Analysis of Prognostic Factors. Pediatric Neurosurgery, 48, 352-359.
[13] Santamarta, D., Onzain, I., Blázquez, J.A., Gómez-Moreta, J.A. and Morales, F. (2004) Endoscopic Third Ventriculostomy: Risk Factors for Failure and Evolution of Ventricular Size. Neurocirugia (Astur), 15, 248-256; Discussion 256-257.
[14] Yadav, Y.R., Parihar, V. and Kher, Y. (2013) Complication Avoidance and Its Management in Endoscopic Neurosurgery. Neurology India, 61, 217-225.
[15] Ganjoo, P., Sethi, S., Tandon, M.S., Singh, D. and Pandey, B.C. (2010) Perioperative Complications of Intraventricular Neuroendoscopy. A 7-Year Experience. Turkish Neurosurgery, 20, 33-38.
[16] Jones, H.C. and Klinge, P.M. (2008) Hydrocephalus 2008, 17-20th September, Hannover Germany: A Conference Report. Cerebrospinal Fluid Research, 5, 19.

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