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.
Key words:
Complication - Endoscopic Third Ventriculostomy - Hydrocephalus - Neuroendoscopy -
SIADH
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