{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:21:48Z","timestamp":1787757708538,"version":"build-2784847793"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Management of complex\/multiloculated\/septated hydrocephalus is challenging. Neuroendoscopy has been well-established when compared to multiple shunt placements in management of multiloculated hydrocephalus (MH). The main aim of neuroendoscopy is to convert multiple locules into a single locule and drain it by either third ventriculostomy or ventriculoperitoneal shunt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective is to reduce the number of surgical procedures and improve the quality of life. Neuroendoscopy avoids multiple shunt placement and need for revision of shunt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Literature review regarding natural history, pathogenesis, classification and management of complex\/uni\/multiloculated hydrocephalus was extensively done and our minimal experience with these cases has been taken into consideration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Neuroendoscopy when combined with frameless neuronavigation is reliable, accurate, and extremely useful in maintaining orientation and localizing the appropriate fenestration site in MH where anatomical landmarks are grossly distorted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.332284","type":"journal-article","created":{"date-parts":[[2021,12,28]],"date-time":"2021-12-28T01:37:09Z","timestamp":1640655429000},"page":"S350-S356","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Management of Complex Hydrocephalus"],"prefix":"10.4103","volume":"69","author":[{"given":"Abhirama Chandra","family":"Gabbita","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subodh","family":"Raju","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-15-20240907","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s00381-012-1702-3","article-title":"Multiloculated hydrocephalus: A review of current problems in classification and treatment","volume":"28","author":"Andresen","year":"2012","journal-title":"Childs Nerv Syst"},{"key":"R2-15-20240907","first-page":"191","article-title":"A special cyst puncture catheter for use in thick-walled or mobile intracranial cysts","volume":"34","author":"Ross","year":"1994","journal-title":"Neurosurgery"},{"key":"R3-15-20240907","doi-asserted-by":"crossref","first-page":"620","DOI":"10.3171\/jns.1973.38.5.0620","article-title":"Intraventricular septations complicating neonatal meningitis","volume":"38","author":"Schultz","year":"1973","journal-title":"J Neurosurg"},{"key":"R4-15-20240907","doi-asserted-by":"crossref","first-page":"748","DOI":"10.3171\/jns.1993.78.5.0748","article-title":"High recurrence rate following aspiration of colloid cysts in the third ventricle","volume":"78","author":"Mathiesen","year":"1993","journal-title":"J Neurosurg"},{"key":"R5-15-20240907","first-page":"100","article-title":"Craniotomy for fenestration of multiloculated hydrocephalus in pediatric patients","volume":"57","author":"Sandberg","year":"2005","journal-title":"Neurosurgery"},{"key":"R7-15-20240907","doi-asserted-by":"crossref","first-page":"402","DOI":"10.3171\/2012.12.PEDS12379","article-title":"Endoscopic cyst fenestration in the treatment of uniloculated hydrocephalus in children","volume":"11","author":"El-Ghandour","year":"2013","journal-title":"J Neurosurg Pediatr"},{"key":"R8-15-20240907","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1186\/1756-0500-2-137","article-title":"Complex hydrocephalus (combination of communicating and obstructive type): An important cause of failed endoscopic third ventriculostomy","volume":"2","author":"Yadav","year":"2009","journal-title":"BMC Res Notes"},{"key":"R9-15-20240907","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1055\/s-2004-830183","article-title":"Endoscopic third ventriculostomy in post-tubercular meningitic hydrocephalus: A preliminary report","volume":"48","author":"Singh","year":"2005","journal-title":"Minim Invasive Neurosurg"},{"key":"R10-15-20240907","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1007\/s00381-011-1528-4","article-title":"Multiloculated hydrocephalus","volume":"27","author":"Zuccaro","year":"2011","journal-title":"Childs Nerv Syst"},{"key":"R11-15-20240907","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1097\/00006123-198512000-00003","article-title":"Pathophysiology of nonneoplastic obstruction of the foramen of Monro and progressive unilateral hydrocephalus","volume":"17","author":"Oi","year":"1985","journal-title":"Neurosurgery"},{"key":"R12-15-20240907","first-page":"199","article-title":"[Slit ventricle and isolated fourth ventricle after shunting in hydrocephalus children]","volume":"15","author":"Oi","year":"1983","journal-title":"No To Hattatsu"},{"key":"R13-15-20240907","doi-asserted-by":"crossref","first-page":"371","DOI":"10.3171\/jns.1991.74.3.0371","article-title":"Hydromyelic hydrocephalus. 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