{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T17:27:53Z","timestamp":1758043673761,"version":"3.44.0"},"reference-count":26,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Intraventricular hemorrhage (IVH) is a critical neurosurgical condition frequently complicated by acute obstructive hydrocephalus, requiring urgent intervention. While external ventricular drainage remains the classic and widely accessible treatment, neuroendoscopic techniques have emerged as a minimally invasive option that allows direct resolution of cerebrospinal fluid (CSF) flow obstruction and, when indicated, hematoma evacuation. However, the literature provides limited technical guidance on neuroendoscopic management, particularly in settings with limited experience in this approach.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Methods: <\/jats:title>\n<jats:p>We conducted a retrospective technical analysis of 12 patients with obstructive hydrocephalus secondary to IVH who underwent endoscopic third ventriculostomy (ETV), with or without hematoma evacuation. The study focuses on describing key procedural aspects, including intraventricular navigation strategies, relevant anatomical landmarks, and intraoperative decision-making processes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results: <\/jats:title>\n<jats:p>The neuroendoscopic procedure was successfully completed in all 12 cases without any technique-related complications. Hematoma evacuation was performed when necessary, and CSF flow obstruction was effectively addressed in each case.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>This report provides a detailed technical description of ETV for the management of IVH-associated obstructive hydrocephalus. It emphasizes practical considerations aimed at supporting the safe implementation of neuroendoscopy in this context, particularly for centers with limited prior experience. The objective is not to conduct a comparative analysis or draw clinical outcome conclusions.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_575_2025","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T08:07:30Z","timestamp":1757664450000},"page":"388","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Technical considerations of neuroendoscopic management of obstructive hydrocephalus secondary to intraventricular hemorrhage"],"prefix":"10.25259","volume":"16","author":[{"given":"Jos\u00e9 Javier","family":"Guil-Ib\u00e1\u00f1ez","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Torrec\u00e1rdenas University Hospital, Almer\u00eda, Spain"},{"name":"Department of Health Science, University of Almer\u00eda, Almer\u00eda, Spain"},{"name":"Microneurosurgical and Skull Base Training Laboratory, University of Almer\u00eda, Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Gomar-Alba","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Torrec\u00e1rdenas University Hospital, Almer\u00eda, Spain"},{"name":"Department of Health Science, University of Almer\u00eda, Almer\u00eda, Spain"},{"name":"Microneurosurgical and Skull Base Training Laboratory, University of Almer\u00eda, Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Garc\u00eda-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Torrec\u00e1rdenas University Hospital, Almer\u00eda, Spain"},{"name":"Department of Health Science, University of Almer\u00eda, Almer\u00eda, Spain"},{"name":"Microneurosurgical and Skull Base Training Laboratory, University of Almer\u00eda, Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan F.","family":"Villalonga","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, LINT, Facultad de Medicina, Universidad Nacional de Tucum\u00e1n, Tucum\u00e1n, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1lvaro","family":"Campero","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, LINT, Facultad de Medicina, Universidad Nacional de Tucum\u00e1n, Tucum\u00e1n, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Huete-Allut","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Torrec\u00e1rdenas University Hospital, Almer\u00eda, Spain"},{"name":"Microneurosurgical and Skull Base Training Laboratory, University of Almer\u00eda, Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"10.25259\/SNI_575_2025\/ref-1","doi-asserted-by":"crossref","first-page":"107309","DOI":"10.1016\/j.jstrokecerebrovasdis.2023.107309","article-title":"Initial experience with minimally invasive endoscopic evacuation of intracerebral hemorrhage in the setting of radiographic herniation","volume":"32","author":"Ali","year":"2023","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"10.25259\/SNI_575_2025\/ref-2","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1227\/01.NEU.0000228681.45125.E9","article-title":"Endoscopic third ventriculostomy for occlusive hydrocephalus caused by cerebellar infarction","volume":"59","author":"Baldauf","year":"2006","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_575_2025\/ref-3","doi-asserted-by":"crossref","first-page":"600","DOI":"10.3349\/ymj.1999.40.6.600","article-title":"Endoscopic surgery for obstructive hydrocephalus","volume":"40","author":"Choi","year":"1999","journal-title":"Yonsei Med J"},{"key":"10.25259\/SNI_575_2025\/ref-4","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1159\/000120717","article-title":"Endoscopic ventricular surgery","volume":"19","author":"Cohen","year":"1993","journal-title":"Pediatr Neurosurg"},{"key":"10.25259\/SNI_575_2025\/ref-5","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1177\/08850666231204582","article-title":"Natural history, pathophysiology, and recent management modalities of intraventricular hemorrhage","volume":"39","author":"Essibayi","year":"2024","journal-title":"J Intensive Care Med"},{"key":"10.25259\/SNI_575_2025\/ref-6","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1055\/s-2008-1053384","article-title":"Endoscopic third ventriculostomy for hydrocephalus","volume":"42","author":"Gangemi","year":"1999","journal-title":"Minim Invasive Neurosurg"},{"key":"10.25259\/SNI_575_2025\/ref-7","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.neucie.2024.10.003","article-title":"Electromagnetic neuronavigation in neuroendoscopy. 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