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J Korean Neurosurg Soc. 2017 May;60(3):282-288. English. Review. https://doi.org/10.3340/jkns.2017.0101.014
Jung TY , Chong S , Kim IY , Lee JY , Phi JH , Kim SK , Kim JH , Wang KC .
Department of Neurosurgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, Korea.
Division of Pediatric Neurosurgery and Clinical Pediatric Neuroscience Center, Seoul National University Children's Hospital, Seoul, Korea. kcwang@snu.ac.kr
Department of Anatomy, Seoul National University College of Medicine, Seoul, Korea.
Department of Neurosurgery, Chonnam National University Medical School and Hospital, Gwangju, Korea.
Abstract

A variety of complications in endoscopic third ventriculostomy have been reported, including neurovascular injury, hemodynamic alterations, endocrinologic abnormalities, electrolyte imbalances, cerebrospinal fluid leakage, fever and infection. Even though most complications are transient, the overall rate of permanent morbidity is 2.38% and the overall mortality rate is 0.28%. To avoid these serious complications, we should keep in mind potential complications and how to prevent them. Proper decisions with regard to surgical indication, choice of endoscopic entry and trajectory, careful endoscopic procedures with anatomic orientation, bleeding control and tight closure are emphasized for the prevention of complications.

Copyright © 2019. Korean Association of Medical Journal Editors.