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Malawi Medical Journal
College of Medicine, University of Malawi and Medical Association of Malawi
ISSN: 1995-7262
Vol. 25, No. 3, 2013, pp. 78-82
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Bioline Code: mm13019
Full paper language: English
Document type: View Point
Document available free of charge
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Malawi Medical Journal, Vol. 25, No. 3, 2013, pp. 78-82
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Exit ventriculoperitoneal shunt; enter endoscopic third ventriculostomy (ETV): contemporary views on hydrocephalus and their implications on management
Kamalo, P.
Abstract
Hydrocephalus has been known to affect humans since the birth of
human medicine as it is described by Hippocrates. The management
of this condition is however still dodged by challenges due to a poor
understanding of its pathophysiology. The ventriculoperitoneal shunt
presents considerable problems especially with respect to infection and
shunt malfunction. Low income countries, that currently face the greater
burden of paediatric hydrocephalus. experience an increased challenge
with ventriculoperitoneal shunts due to a shortage of qualified personnel
to handle shunt complications. Recent advances in neuro-endoscopic
surgery have presented opportunities for alternative treatment options
for hydrocephalus such as endoscopic third ventriculostomy (ETV).
This paper explores the alternative views in the pathophysiology of
hydrocephalus and how they explain the effectiveness of ETV in treating
hydrocephalus arising from a variety of causes.
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© Copyright 2013 - Malawi Medical Journal Alternative site location: http://revista.uft.edu.br/index.php/jbb/index
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