Endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomas

Introduction: Treatment options for hydrocephalus related to posterior fossa tumors have been extensively studied in the pediatric population, but the value of endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannoma in adults, is controversial. A systematic search of the...

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Main Authors: Ernesto Enrique Horta-Tamayo, Diana Rosa Ortega-Raez, Luis Cesar Acosta-González, Orestes López-Piloto, Lismary Martínez-Valdés, Martha Suárez-Cruz
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas - ECIMED 2023-10-01
Series:Revista Cubana de Medicina Militar
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Online Access:https://revmedmilitar.sld.cu/index.php/mil/article/view/2960
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author Ernesto Enrique Horta-Tamayo
Diana Rosa Ortega-Raez
Luis Cesar Acosta-González
Orestes López-Piloto
Lismary Martínez-Valdés
Martha Suárez-Cruz
author_facet Ernesto Enrique Horta-Tamayo
Diana Rosa Ortega-Raez
Luis Cesar Acosta-González
Orestes López-Piloto
Lismary Martínez-Valdés
Martha Suárez-Cruz
author_sort Ernesto Enrique Horta-Tamayo
collection DOAJ
description Introduction: Treatment options for hydrocephalus related to posterior fossa tumors have been extensively studied in the pediatric population, but the value of endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannoma in adults, is controversial. A systematic search of the medical literature was carried out in Pubmed/Medline and SciElo for the identification and inclusion of articles, in addition to the preprint servers bioRxiv and medRxiv. The following descriptors were used: "Hydrocephalus" and "vestibular schwannomas" or "acoustic neuromas" or "acoustic neurinomas" and "endoscopic third ventriculostomy". The initial search found 195 articles. After selection, 5 articles were chosen for the study. Objective: To specify the role of the endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomas. Development: The articles included a total of 82 patients, in which an improvement of the symptoms was achieved in 86.6% of the cases. The decrease in ventricular diameter was reported in 82.9% of the cases and was only found explicit in 3 articles. Although the failure criteria used were varied, 2 of them predominated: The persistence of progressive symptomatic hydrocephalus and/or the need for shunt placement. Endoscopic third ventriculostomy failure only represented 14.6%. Conclusions: Third ventriculostomy is an acceptable technique with relative success for the treatment of symptomatic obstructive hydrocephalus secondary to vestibular schwannomas.
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spelling doaj-art-a339feb5d97d47a2a8d20fd7eba7f5992025-08-20T03:19:59ZspaEditorial Ciencias Médicas - ECIMEDRevista Cubana de Medicina Militar1561-30462023-10-01524840Endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomasErnesto Enrique Horta-Tamayo0https://orcid.org/0000-0002-1292-1689Diana Rosa Ortega-Raez1https://orcid.org/0000-0002-6992-3570Luis Cesar Acosta-González2https://orcid.org/0000-0002-6463-4243Orestes López-Piloto3https://orcid.org/0000-0002-1889-5223Lismary Martínez-Valdés4https://orcid.org/0000-0003-1964-4327Martha Suárez-Cruz5https://orcid.org/0000-0002-4608-4903Maradi Reference Hospital. Maradi. Niger.“Lucía Iñiguez Landín†Clinical-Surgical Hospital. Holguin. Cuba.“Lucía Iñiguez Landín†Surgical Clinical Hospital. Holguin. Cuba.Institute of Neurology and Neurosurgery "José Rafael Estrada González". Havana. Cuba.Institute of Neurology and Neurosurgery "José Rafael Estrada González". Havana. Cuba.Faculty of Medical Sciences "Mariana Grajales Coello". Holguin. Cuba.Introduction: Treatment options for hydrocephalus related to posterior fossa tumors have been extensively studied in the pediatric population, but the value of endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannoma in adults, is controversial. A systematic search of the medical literature was carried out in Pubmed/Medline and SciElo for the identification and inclusion of articles, in addition to the preprint servers bioRxiv and medRxiv. The following descriptors were used: "Hydrocephalus" and "vestibular schwannomas" or "acoustic neuromas" or "acoustic neurinomas" and "endoscopic third ventriculostomy". The initial search found 195 articles. After selection, 5 articles were chosen for the study. Objective: To specify the role of the endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomas. Development: The articles included a total of 82 patients, in which an improvement of the symptoms was achieved in 86.6% of the cases. The decrease in ventricular diameter was reported in 82.9% of the cases and was only found explicit in 3 articles. Although the failure criteria used were varied, 2 of them predominated: The persistence of progressive symptomatic hydrocephalus and/or the need for shunt placement. Endoscopic third ventriculostomy failure only represented 14.6%. Conclusions: Third ventriculostomy is an acceptable technique with relative success for the treatment of symptomatic obstructive hydrocephalus secondary to vestibular schwannomas.https://revmedmilitar.sld.cu/index.php/mil/article/view/2960endoscopic third ventriculostomyhydrocephalusvestibular schwannoma.
spellingShingle Ernesto Enrique Horta-Tamayo
Diana Rosa Ortega-Raez
Luis Cesar Acosta-González
Orestes López-Piloto
Lismary Martínez-Valdés
Martha Suárez-Cruz
Endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomas
Revista Cubana de Medicina Militar
endoscopic third ventriculostomy
hydrocephalus
vestibular schwannoma.
title Endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomas
title_full Endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomas
title_fullStr Endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomas
title_full_unstemmed Endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomas
title_short Endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomas
title_sort endoscopic third ventriculostomy in hydrocephalus secondary to vestibular schwannomas
topic endoscopic third ventriculostomy
hydrocephalus
vestibular schwannoma.
url https://revmedmilitar.sld.cu/index.php/mil/article/view/2960
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