Endoscopic third ventriculostomy (ETV) for hydrocephalus in Noida. Dr. Manish Vaish at Medanta Hospital performs ETV as an alternative to VP shunt. Team Sushrut, Sector 50.
Dr Manish Vaish
Director & HOD – Neurosciences
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Overview
Symptoms
Title
Hydrocephalus
headache, nausea, vomiting, blurred vision, gait disturbance
Title
Papilloedema (swelling of the optic disc) on fundoscopy
Title
Signs of raised intracranial pressure: drowsiness, bradycardia, hypertension (Cushing's triad
emergency)
Title
Infants
increasing head circumference, bulging fontanelle, sunset sign
Treatments
Title
ETV
neuroendoscopic floor fenestration under general anaesthesia
Title
VP shunt (ventriculoperitoneal shunt)
alternative or when ETV fails
Title
ETV with choroid plexus coagulation (ETV-CPC) in infants
Title
Management of underlying cause (aqueductal stenosis, posterior fossa tumour)


