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Minim Invasive Neurosurg 2008; 51(3): 158-164
DOI: 10.1055/s-2008-1046760
Original Article

© Georg Thieme Verlag KG Stuttgart · New York

Neuroendoscopic Procedures in Achievement of Shunt Independence: Outcome Analysis of 28 Patients with Shunt Malfunction

A. Sufianov 1 , G. Sufianova 1 , Iu. Iakimov 1
  • 1Russian Academy of Medical Sciences, East-Siberian Minimally Invasive Neurosurgical Centre, Irkutsk, Russia
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Publication History

Publication Date:
02 June 2008 (online)

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Abstract

Objective: The authors review their experience of the TV-controlled endoscopic technique in the treatment of shunt malfunction in 28 patients suffering from hydrocephalus.

Material and Methods: We treated 28 patients (6.6±1.2 years) with shunt malfunctions by a neuroendoscopic procedure. The number of reimplantations of the shunt systems prior to the neuroendoscopic procedure varied from 1 to 13. Duration of the shunt dependency has averaged to 42.7±8.1 months (range: 5-180 months). All procedures were performed with the Gaab I neuroendoscope and Gaab II miniature neuroendoscope. All patients presented with neurological signs and deficits. The follow-up period has averaged to 32.3±6.2 months (4-114 months).

Conclusion: Endoscopic surgery offers an effective technique in the surgical treatment of shunt malfunction. On the basis of our experience, the use of a neuroendoscopic procedure for shunt malfunction allows us to achieve shunt independence in 82.1% and shunt removal in 50.0%. The introduction of these methods is recommended in neurosurgical centers that are traditionally widely engaged in the treatment of hydrocephalus.

Key words

neuroendoscopy - hydrocephalus - shunt malfunction - endoscopic third ventriculostomy - shunt independence

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Correspondence

A. SufianovMD, PhD 

Russian Academy of Medical Sciences

East-Siberian Minimally Invasive Neurosurgical Centre

16 Timiriazeva Street

664003 Irkutsk

Russia

(or Postbox 64, 664047 Irkutsk, Russia)

Phone: +7/3952/206 311

Fax: +7/3952/206 311

Email: sufianov@bk.ru

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