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Endoscopic Third Ventriculostomy for the Treatment of Obstructive Hydrocephalus During Pregnancy

Riffaud, Laurent MD; Ferre, Jean-Christophe MD; Carsin-Nicol, Béatrice MD; Morandi, Xavier MD

Obstetrics & Gynecology:
doi: 10.1097/01.AOG.0000214676.16825.85
Case Reports
Abstract

BACKGROUND: Endoscopic third ventriculostomy is an effective procedure for treating obstructive (noncommunicating) hydrocephalus as an alternative to ventricular shunt placement.

CASE: Five pregnant women undergoing endoscopic third ventriculostomy as treatment for newly diagnosed acute obstructive hydrocephalus (n=2) or in cases of malfunction of a preexisting ventriculoperitoneal shunt (n=3) are presented.

CONCLUSION: Endoscopic third ventriculostomy may be preferred to ventricular shunt placement as the initial mode of treatment for pregnant patients with newly diagnosed obstructive hydrocephalus as well as in cases of malfunction of a preexisting shunt.

In Brief

Endoscopic third ventriculostomy may be preferred to ventricular shunt placement mode of treatment for obstructive (noncommunicating) hydrocephalus during pregnancy.

Author Information

From the Departments of Neurosurgery and Neuroradiology, Pontchaillou University Hospital, Rennes, France.

Corresponding author: Laurent Riffaud, MD, Service de Neurochirurgie, Hôpital Pontchaillou, rue Henri Le Guilloux, 35033 Rennes cedex, France; e-mail: laurent.riffaud@chu-rennes.fr.

© 2006 by The American College of Obstetricians and Gynecologists.