{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T10:15:58Z","timestamp":1779963358171,"version":"3.53.1"},"reference-count":28,"publisher":"Charles University in Prague, Karolinum Press","issue":"1","license":[{"start":{"date-parts":[[2021,4,14]],"date-time":"2021-04-14T00:00:00Z","timestamp":1618358400000},"content-version":"vor","delay-in-days":103,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,14]],"date-time":"2021-04-14T00:00:00Z","timestamp":1618358400000},"content-version":"tdm","delay-in-days":103,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["actamedica.lfhk.cuni.cz"],"crossmark-restriction":true},"short-container-title":["Acta Med. (Hradec Kralove, Czech Repub.)"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:p>Objective: To evaluate and discuss the outcomes of a combination of ventriculocystostomy (VC) and endoscopic third ventriculostomy (ETV) for obstructive hydrocephalus (HCP) due to ventricular\/cisternal arachnoid cysts, and only ETV for obstructive HCP due to different etiologies. Methods: We retrospectively reviewed all 40 symptomatic patients (aged 4 months \u2013 61 years) of obstructive HCP treated by ETV or VC+ETV during October 2014 \u2013 April 2019. VC+ETV was performed in 7 patients with intraventricular\/cisternal arachnoid cyst and obstructive HCP. Only ETV was performed in 33 patients with obstructive HCP due to other etiologies. Results: Successful ETV or VC+ETV surgery was performed in 35 patients. The procedure failed in 5 patients aged &lt; 1 year; all these 5 patients had a head circumference (HC) of &gt; 90 percentile at the time of surgery. Another 5 patients aged &lt; 1 year showed successful ETV, with a HC of 75\u201390 percentiles. Conclusion: ETV is a successful alternative treatment for obstructive HCP. The ventricular size may not demonstrate a remarkable reduction post-ETV than post-shunting. Accordingly, increased intracranial pressure may not effectively decrease during the early period post-ETV than post-shunting. Therefore, the success rates of VC and\/or ETV are low in very young patients with very high HCs (&gt; 90 percentile).<\/jats:p>","DOI":"10.14712\/18059694.2021.5","type":"journal-article","created":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T08:33:15Z","timestamp":1618475595000},"page":"29-35","update-policy":"https:\/\/doi.org\/10.14712\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus and Ventriculocystostomy for Intraventricular Arachnoid Cysts"],"prefix":"10.14712","volume":"64","author":[{"given":"Bekir","family":"Akgun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sait","family":"Ozturk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omer Batu","family":"Hergunsel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatih Serhat","family":"Erol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatih","family":"Demir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5727","published-online":{"date-parts":[[2021,4,14]]},"reference":[{"key":"18059694.2021.5_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10143-005-0399-0","volume":"28","author":"Hellwig","year":"2005","journal-title":"Neurosurg Rev"},{"key":"18059694.2021.5_2","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1007\/s10143-005-0407-4","volume":"28","author":"Etus","year":"2005","journal-title":"Neurosurg Rev"},{"key":"18059694.2021.5_3","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1056\/NEJM192303011880909","volume":"1","author":"Mixter","year":"1923","journal-title":"Boston Med Surg J"},{"key":"18059694.2021.5_4","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1001\/archneurpsyc.1936.02260040163011","volume":"38","author":"Scarff","year":"1936","journal-title":"Arch Neurol Psychiat"},{"key":"18059694.2021.5_5","doi-asserted-by":"crossref","first-page":"489","DOI":"10.3171\/2010.8.PEDS08491","volume":"6","author":"Cinalli","year":"2010","journal-title":"J Neurosurg Pediatr"},{"key":"18059694.2021.5_6","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1055\/s-2008-1053384","volume":"42","author":"Gangemi","year":"1999","journal-title":"Minim Invasive Neurosurg"},{"key":"18059694.2021.5_7","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1159\/000120665","volume":"18","author":"Walker","year":"1992","journal-title":"Pediatr Neurosurg"},{"key":"18059694.2021.5_8","doi-asserted-by":"crossref","first-page":"54","DOI":"10.3171\/2013.4.PEDS12481","volume":"12","author":"Vogel","year":"2013","journal-title":"J Neurosurg Pediatr"},{"key":"18059694.2021.5_9","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1007\/s10143-015-0685-4","volume":"39","author":"Tasiou","year":"2016","journal-title":"Neurosurg Rev"},{"key":"18059694.2021.5_10","doi-asserted-by":"crossref","first-page":"1233","DOI":"10.1007\/s00381-011-1405-1","volume":"27","author":"Knaus","year":"2011","journal-title":"Childs Nerv Syst"},{"key":"18059694.2021.5_11","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1007\/s00381-017-3524-9","volume":"34","author":"Copley","year":"2018","journal-title":"Childs Nerv Syst"},{"key":"18059694.2021.5_12","doi-asserted-by":"crossref","first-page":"2197","DOI":"10.1007\/s00381-016-3203-2","volume":"32","author":"Knie","year":"2016","journal-title":"Childs Nerv Syst"},{"key":"18059694.2021.5_13","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.wneu.2012.02.011","volume":"79","author":"Ozek","year":"2013","journal-title":"World Neurosurgery"},{"key":"18059694.2021.5_14","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1007\/s00381-015-2962-5","volume":"32","author":"Gui","year":"2016","journal-title":"Childs Nerv Syst"},{"key":"18059694.2021.5_15","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.wneu.2017.05.107","volume":"105","author":"Rei","year":"2017","journal-title":"World Neurosurg"},{"key":"18059694.2021.5_16","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1007\/s00381-006-0194-4","volume":"22","author":"Di Rocco","year":"2006","journal-title":"Childs Nerv Syst"},{"key":"18059694.2021.5_17","doi-asserted-by":"crossref","first-page":"306","DOI":"10.3340\/jkns.2017.0202.013","volume":"60","author":"Deopujari","year":"2017","journal-title":"J Korean Neurosurg Soc"},{"key":"18059694.2021.5_18","doi-asserted-by":"crossref","first-page":"282","DOI":"10.3340\/jkns.2017.0101.014","volume":"60","author":"Jung","year":"2017","journal-title":"J Korean Neurosurg Soc"},{"key":"18059694.2021.5_19","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1007\/s00381-008-0778-2","volume":"25","author":"Er\u015fahin","year":"2009","journal-title":"Childs Nerv Syst"},{"key":"18059694.2021.5_20","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/S1042-3680(18)30274-2","volume":"9","author":"Alvarez","year":"1998","journal-title":"Neurosurg Clin N Am"},{"key":"18059694.2021.5_21","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1159\/000028693","volume":"29","author":"Buxton","year":"1998","journal-title":"Pediatr Neurosurg"},{"key":"18059694.2021.5_22","doi-asserted-by":"crossref","first-page":"392","DOI":"10.3171\/2009.11.PEDS09197","volume":"5","author":"Sufianov","year":"2010","journal-title":"J Neurosurg Pediatr"},{"key":"18059694.2021.5_23","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.1097\/00006123-200005000-00015","volume":"46","author":"Fukuhara","year":"2000","journal-title":"Neurosurgery"},{"key":"18059694.2021.5_24","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1159\/000050406","volume":"35","author":"Javadpour","year":"2001","journal-title":"Pediatr Neurosurg"},{"key":"18059694.2021.5_25","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1016\/j.biopsych.2008.07.031","volume":"64","author":"Gilmore","year":"2008","journal-title":"Biol Psychiatry"},{"key":"18059694.2021.5_26","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.tjog.2014.04.008","volume":"53","author":"Chiu","year":"2014","journal-title":"Taiwan J Obstet Gynecol"},{"key":"18059694.2021.5_27","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1007\/s00381-007-0327-4","volume":"23","author":"Tamburrini","year":"2007","journal-title":"Childs Nerv Syst"},{"key":"18059694.2021.5_28","doi-asserted-by":"crossref","first-page":"6","DOI":"10.3171\/2011.4.PEDS1184","volume":"8","author":"El-Ghandour","year":"2011","journal-title":"J Neurosurg Pediatr"}],"container-title":["Acta Medica (Hradec Kralove, Czech Republic)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/actamedica.lfhk.cuni.cz\/media\/pdf\/am_2021064010029.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedica.lfhk.cuni.cz\/media\/pdf\/am_2021064010029.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T09:50:24Z","timestamp":1779961824000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedica.lfhk.cuni.cz\/64\/1\/0029\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021]]}},"alternative-id":["am_2021064010029"],"URL":"https:\/\/doi.org\/10.14712\/18059694.2021.5","relation":{},"ISSN":["1211-4286","1805-9694"],"issn-type":[{"value":"1211-4286","type":"print"},{"value":"1805-9694","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021]]}}}