Dilovar D Kositov^1,2*, Khurshed J Rahmonov^1,2, Rustam N Berdiev¹, Shurat B Choriev^1,2, Iskandar M Habibov¹, Doston I Kodirov^1,2 and Umed Kh Rahmonov^1,2

¹SEI Avicenna Tajik State Medical University, Tajikistan
²SI National medical center of the Republic of Tajikistan – “Shifobakhsh”, Tajikistan

*Corresponding Author: Dilovar D Kositov, SEI Avicenna Tajik State Medical University, Tajikistan.

Received: December 01, 2023; Published: January 21, 2024

Abstract

Introduction: Surgical treatment of patients with migrated ventricular end of the shunt and simultaneous endoscopic ventriculocisternostomy of the bottom of the third ventricle. Description of a case that was first performed in the Republic of Tajikistan.

Material and Methods: An 11-month-old patient underwent shunt surgery at the age of 4 months for progressive post-inflammatory hydrocephalus. At the age of 10 months, the infected shunt was removed. During removal, the ventricular end migrated Transferred to the State Institution National Medical Center "Shifobakhsh" in the pediatric neurosurgical department with hypertensive-hydrocephalic syndrome. Computed tomography (CT) revealed a migrated ventricular end in the left lateral ventricle measuring 10 cm and progressive tetraventricular hydrocephalus with symmetrical enlargement of the lateral and third and fourth ventricles. Endoscopic removal of the migrated ventricular end of the shunt and ventriculocisternostomy of the floor of the third ventricle (EVC III) were performed. After surgery, regression of symptoms was observed. According to control CT data, there was a moderate decrease in the size of the lateral and third and fourth ventricles.

Discussion: When the ventricular end of the shunt migrates, its endoscopic removal is the optimal and low-traumatic method of operation and, if possible, ventriculocisternostomy of the third ventricle floor (EVC III) allows to reduce the implantation of CSF shunt system.

Keywords: Migrated Ventricular End of the Shunt; Hydrocephalus; Endoscopic Triventriculocisternostom

References

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Citation

Citation: Dilovar D Kositov., et al. “Endoscopic Removal of the Migrated Ventricular End of the Shunt and Ventriculocisternostomy for Progressive Hydrocephalus: A Clinical Case".Acta Scientific Clinical Case Reports 5.2 (2024): 27-30.

Copyright

Copyright: © 2024 Dilovar D Kositov., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.