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Journal of Pediatric Neuroradiology 2012; 01(01): 065-068
DOI: 10.3233/PNR-2012-011
Georg Thieme Verlag KG Stuttgart – New York

Endoscopic third ventriculostomy: An efficient treatment of hydromyelia

Cerasela Slimac
a   The Spinal Cord Research Centre, Department of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark
,
Dorte Clemmensen
a   The Spinal Cord Research Centre, Department of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark
b   Department of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark
,
Mikkel Rasmussen
a   The Spinal Cord Research Centre, Department of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark
,
Torben S. Hansen
b   Department of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark
,
Michael Pedersen
c   MR Research Center, Institute of Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark
› Author Affiliations
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Publication History

21 September 2010

05 December 2010

Publication Date:
28 July 2015 (online)

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Abstract

In a patient with myelomeningocele (MMC) and hydrocephalus, hydromyelia can be treated with endoscopic third ventriculostomy (ETV). A child with lumbar MMC, Chiari malformation type II and hydrocephalus was initially treated with a ventriculoperitoneal shunt. Hydromyelia involving the entire spinal cord was present. At the age of five years, shunt dysfunction was treated with an ETV and the ventriculoperitoneal shunt was removed. After ETV, the hydromyelia regressed in the following year. In patients with MMC, ETV seems to be a possible treatment for both hydrocephalus and hydromyelia.

Keywords

Hydromyelia - syringomyelia - endoscopy - myelomeningocele - hydrocephalus