Minim Invasive Neurosurg 2000; 43(4): 190-191
DOI: 10.1055/s-2000-11371
ORIGINAL PAPER
Georg Thieme Verlag Stuttgart · New York

Transient Hyponatriemia Complicated by Seizures after Endoscopic Third Ventriculostomy

C. Vaicys1 , A. Fried2
  • 1Department of Neurosurgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, U.S.A.
  • 2Pediatric Neuroscience Institute, Hackensack University Medical Center, Hackensack, New Jersey, U.S.A.
Further Information

Publication History

Publication Date:
31 December 2000 (online)

We present an infant who underwent endoscopic third ventriculostomy due to symptomatic hydrocephalus secondary to aqueductal stenosis. This is the first reported case of inappropriate secretion of antidiuretic hormone complicated by hyponatriemia and seizures following endoscopic surgery. The possibility of such a neuroendoscopic complication should alert neurosurgeons and close observation of serum electrolytes is highly recommended in the acute postoperative period, particularly in infants.

References

  • 1 Brockmeyer D, Abtin K, Carey L, Walker M L. Endoscopic third ventriculostomy: an outcome analysis.  Pediatr Neurosurg. 1998;  28 236-240
  • 2 Deco P, Brugieres P, Le Guerinel C, Gjindjian M, Keravel Y, Nguyen J- P. Percutaneous endoscopic treatment of suprasellar arachnoid cysts: ventriculostomy or ventriculocystocisternostomy.  J Neurosurg. 1996;  84 696-701
  • 3 Drake J M. Ventriculostomy for treatment of hydrocephalus.  Neurosurg Clin North Am. 1993;  4 657-666
  • 4 Ferrer E, Santamarta D, Garcia-Fructuoso G, Caral L, Rumia J. Neuroendoscopic management of pineal region tumors.  Acta Neurochir (Wien). 1997;  139 12-21
  • 5 Grant J A, McLone D G. Third ventriculostomy; a review.  Surg Neurol. 1997;  47 210-212
  • 6 Handler M H, Abbott R, Lee M L. A near-fatal complication of endoscopic third ventriculostomy: case report.  Neurosurgery. 1994;  35 525-528
  • 7 Jones R FC, Kwok B CT, Stening W A, Vonau M. The current status of endoscopic third ventriculostomy in the management of non-communicating hydrocephalus.  Minim Invas Neurosurg. 1994;  37 28-36
  • 8 McLaughlin M R, Wahlig J B, Kaufmann A M, Albright A L. Traumatic basilar aneurysm after endoscopic third ventriculostomy: case report.  Neurosurgery. 1997;  41 1400-1404
  • 9 Melikian A G, Golanov A V, Shcherbakova E. Endoscopic ventriculostomy in the treatment of obstructive forms of hydrocephalus.  Zhur Vopr Neirokhir Im N N Burdenko. 1997;  3 22-27
  • 10 Mohanty A, Anandh B, Reddy M S, Sastry K VR. Contralateral massive acute subdural collection after endoscopic third ventriculostomy - a case report.  Minim Invas Neurosurg. 1997;  40 59-60
  • 11 Oka K, Yamamoto M, Ikeda K, Tomonaga M. Flexible endoneurosurgical therapy for aqueductal stenosis.  Neurosurgery. 1993;  33 236-243
  • 12 Teo C, Rahman S, Boop F A, Cherry B. Complications of endoscopic neurosurgery.  Child's Nerv Syst. 1996;  12 248-253

Corresponding Author

C Vaicys, M. D., Ph. D 

Microsurgery of the Brain and Spine, Neuro-Oncology,Stereotactic and Functional Surgery and Pediatric Neurosurgery

5210 Linton Boulevard, Suite 301Delray Beach, FL 33484U.S.A.

Phone: Phone:+1-561-4991446

Fax: Fax:+1-561-4999954

    >