{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:45:32Z","timestamp":1777045532894,"version":"3.51.4"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T00:00:00Z","timestamp":1715558400000},"content-version":"vor","delay-in-days":42,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg Rep"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Hydrocephalus is a condition characterized by the abnormal accumulation of cerebrospinal fluid within the brain's ventricular system. It can stem from obstructive and nonobstructive causes. Pregnancy introduces physiopathological changes that may heighten the risk of developing or worsening symptomatic hydrocephalus. Nevertheless, comprehensive reports on this aspect, especially regarding surgical interventions, remain scarce.<\/jats:p><jats:p>\n          Case Report\u2003A young woman with a history of recurrent headaches experienced a worsening of her symptoms at the onset of her pregnancy. A magnetic resonance imaging (MRI) in the first trimester revealed increased ventricular dilation, indicating an obstructive cause due to aqueduct stenosis. During a neurosurgical board meeting, treatment options were discussed, considering the identifiable obstruction, the heightened intra-abdominal pressure associated with pregnancy, and the risk of ventricular shunt dysfunction. The patient underwent an endoscopic third ventriculostomy (ETV) without complications, leading to both symptom relief and a successful conclusion to the pregnancy.<\/jats:p><jats:p>\n          Discussion\u2003Neurosurgical procedures in pregnant women are uncommon due to the increased risks to both the mother and the fetus. However, when performed by a qualified multidisciplinary team, they can lead to positive outcomes. In cases of hydrocephalus during pregnancy, ETV appears to be a viable alternative for surgical intervention, particularly when hydrocephalus becomes symptomatic and an obstructive cause is identified, whether in patients with existing shunts or those with newly developed hydrocephalus.<\/jats:p>","DOI":"10.1055\/s-0044-1786822","type":"journal-article","created":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T23:43:06Z","timestamp":1715643786000},"page":"e59-e65","source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic Third Ventriculostomy for the Management of Obstructive Hydrocephalus in Pregnancy: A Case Report and Review of the Literature"],"prefix":"10.1055","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2897-1378","authenticated-orcid":false,"given":"Alejandro","family":"Dur\u00e1n-Ojeda","sequence":"additional","affiliation":[{"name":"Neurosurgery Research Group, NeuroAxis SAS, Bogot\u00e1, Colombia"},{"name":"Department of Clinical Epidemiology, Universidad de los Andes, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7723-5578","authenticated-orcid":false,"given":"Santiago","family":"Campos-Fajardo","sequence":"additional","affiliation":[{"name":"Neurosurgery Research Group, NeuroAxis SAS, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Su\u00e1rez-Monsalve","sequence":"additional","affiliation":[{"name":"Neurosurgery Research Group, NeuroAxis SAS, Bogot\u00e1, Colombia"},{"name":"Department of Clinical Epidemiology, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Alberto","family":"Lindado-Pacheco","sequence":"additional","affiliation":[{"name":"Neurosurgery Research Group, NeuroAxis SAS, Bogot\u00e1, Colombia"},{"name":"Department of Neurosurgery, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime Eduardo","family":"Becerra-Ospina","sequence":"additional","affiliation":[{"name":"Neurosurgery Research Group, NeuroAxis SAS, Bogot\u00e1, Colombia"},{"name":"Department of Neurosurgery, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,5,13]]},"reference":[{"key":"ref1","volume-title":"Greenberg's Handbook of Neurosurgery","author":"M S Greenberg","year":"2023","edition":"10th ed."},{"key":"ref2","volume-title":"Neuroanatomy, Cerebrospinal Fluid","author":"T Huff","year":"2023"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"123","DOI":"10.4103\/1793-5482.181127","article-title":"Management of obstructive hydrocephalus in pregnant patient","volume":"13","author":"M\u015e Ek\u015fi","year":"2018","journal-title":"Asian J Neurosurg"},{"issue":"02","key":"ref4","first-page":"139","article-title":"The cerebral circulation during pregnancy: adapting to preserve normalcy","volume":"30","author":"A C Johnson","year":"2015","journal-title":"Physiology (Bethesda)"},{"issue":"01","key":"ref5","first-page":"19","article-title":"Change in brain size during and after pregnancy: study in healthy women and women with preeclampsia","volume":"23","author":"A Oatridge","year":"2002","journal-title":"AJNR Am J Neuroradiol"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.4103\/ajns.AJNS_107_18","article-title":"A randomized study comparing endoscopic third ventriculostomy versus ventriculoperitoneal shunt in the management of hydrocephalus due to tuberculous meningitis","volume":"13","author":"A Aranha","year":"2018","journal-title":"Asian J Neurosurg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"467","DOI":"10.25259\/SNI_747_2022","article-title":"Endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in African centers - a systematic review and meta-analysis","volume":"13","author":"D A Jesuyajolu","year":"2022","journal-title":"Surg Neurol Int"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.wneu.2019.04.255","article-title":"Endoscopic third ventriculostomy versus ventriculoperitoneal shunt in patients with obstructive hydrocephalus: meta-analysis of randomized controlled trials","volume":"129","author":"L Lu","year":"2019","journal-title":"World Neurosurg"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"933","DOI":"10.3171\/jns.2000.92.6.0933","article-title":"Pathophysiology of long-standing overt ventriculomegaly in adults","volume":"92","author":"S Oi","year":"2000","journal-title":"J Neurosurg"},{"issue":"01","key":"ref10","first-page":"e21079","article-title":"Analysis of a novel entry point for freehand ventriculostomy using computerized tomography scans","volume":"14","author":"A N Konovalov","year":"2022","journal-title":"Cureus"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"CASE2054","DOI":"10.3171\/CASE2054","article-title":"Endoscopic third ventriculostomy for VP shunt malfunction during the third trimester of pregnancy: illustrative case","volume":"1","author":"A K Alhaj","year":"2021","journal-title":"J Neurosurg Case Lessons"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1097\/01.AOG.0000214676.16825.85","article-title":"Endoscopic third ventriculostomy for the treatment of obstructive hydrocephalus during pregnancy","volume":"108","author":"L Riffaud","year":"2006","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.ijgo.2007.05.029","article-title":"Endoscopic third ventriculostomy during pregnancy","volume":"99","author":"S Yoshida","year":"2007","journal-title":"Int J Gynaecol Obstet"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"43","DOI":"10.4103\/2152-7806.153845","article-title":"Management of intracranial pathology during pregnancy: Case example and review of management strategies","volume":"6","author":"V M Ravindra","year":"2015","journal-title":"Surg Neurol Int"},{"key":"ref15","first-page":"57","article-title":"Acute obstructive hydrocephalus in pregnancy","author":"L McKie","year":"2018","journal-title":"BJOG"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1080\/02688697.2021.2024498","article-title":"Feasibility of awake endoscopic third ventriculostomy in selected patients of obstructive hydrocephalus","volume":"37","author":"S K Sahoo","year":"2023","journal-title":"Br J Neurosurg"},{"issue":"01","key":"ref17","first-page":"59","article-title":"A case of aqueductal stenosis with acute progressive hydrocephalus during pregnancy [in Japanese]","volume":"33","author":"Y Watanabe","year":"2005","journal-title":"No Shinkei Geka"},{"issue":"03","key":"ref18","first-page":"141","article-title":"Managing pregnancy in women with ventriculoperitoneal shunt: a review of the literature","volume":"1","author":"M Brkic","year":"2017","journal-title":"Biomed Surg."},{"key":"ref19","volume-title":"Aqueductal Stenosis and Hydrocephalus","author":"P Spennato","year":"2018"},{"issue":"06","key":"ref20","doi-asserted-by":"crossref","first-page":"1764","DOI":"10.3171\/2019.1.JNS181330","article-title":"Anterior third ventricular height and infundibulochiasmatic angle: two novel measurements to predict clinical success of endoscopic third ventriculostomy in the early postoperative period","volume":"132","author":"M S G\u00fcrb\u00fcz","year":"2019","journal-title":"J Neurosurg"}],"container-title":["Journal of Neurological Surgery Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1786822.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:53:13Z","timestamp":1730814793000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1786822"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":20,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2024,4,8]]},"published-print":{"date-parts":[[2024,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1786822","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6358","2193-6366"],"issn-type":[{"value":"2193-6358","type":"print"},{"value":"2193-6366","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]}}}