{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T18:41:41Z","timestamp":1793472101217,"version":"4.5.0"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aim:<\/jats:title>\n                    <jats:p>Contemporary management of hydrocephalus involves various modes of cerebrospinal fluid (CSF) diversion, including shunt surgery and endoscopic ventriculostomy. However, there are times when either of these procedures have either failed or are not feasible. Highly invasive procedures aimed at internal CSF have been described previously, which, with the aid of modern microsurgical techniques, can be attempted in cases with very limited options. Our aim was to study the utility of extra-axial third ventriculostomy via lamina terminalis fenestration with multiple cisternostomies in the treatment of failed hydrocephalus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Forty-five patients with hydrocephalus were operated for extra-axial trans-lamina terminalis third ventriculostomy with multiple cisternostomies from January 2017 to January 2019. A minimally invasive supraorbital craniotomy was performed with subfrontal fenestration of the lamina terminalis and trans-lamina terminalis fenestration of the floor of the third ventricle with multiple cisternostomies including the optico-carotid cistern and opening of the Liliequist membrane.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Tuberculous meningitis was the most common etiology in the series, and multiple shunt procedures and incompatible CSF profiles were the most common reasons that necessitated this alternate rescue procedure. At a mean follow-up of 6 months, no patient required a revision shunt surgery. There was one death due to cardiac failure with anasarca, unrelated to the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Extra-axial trans-lamina terminalis ventriculostomy with cisternostomies can safely be performed using minimally invasive micro-neurosurgical techniques, adding to the armamentarium of neurosurgeons in the management of complex cases of hydrocephalus.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.383847","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T04:21:33Z","timestamp":1692850893000},"page":"748-753","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Extra-Axial Third Ventriculostomy Through Lamina Terminalis with Multiple Cisternostomies \u2013 Rescue Surgery for Patients with Failed Shunt Surgeries and Hydrocephalus"],"prefix":"10.4103","volume":"71","author":[{"given":"Vernon","family":"Velho","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hrushikesh","family":"Kharosekar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuj","family":"Bhide","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laxmikant","family":"Bhople","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pravin","family":"Survashe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-21-20240907","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1055\/s-2000-8330","article-title":"Anomalies and variants of the endoscopic anatomy for third ventriculostomy","volume":"43","author":"Rohde","year":"2000","journal-title":"Minim Invasive Neurosurg"},{"key":"R3-21-20240907","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1002\/lsm.20045","article-title":"Laser-assisted endoscopic third ventriculostomy for obstructive hydrocephalus: Technique and results in a series of 40 consecutive cases","volume":"34","author":"Devaux","year":"2004","journal-title":"Lasers Surg Med"},{"key":"R4-21-20240907","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/S0009-9260(87)80149-6","article-title":"The morbidity of CT air meatography: A follow-up of 84 patients","volume":"38","author":"Greenberger","year":"1987","journal-title":"Clin Radiol"},{"key":"R5-21-20240907","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/BF01405646","article-title":"Ventriculo-cisternostomy for stenosis of the aqueduct of Sylvius. Puncture of the floor of the third ventricle with a leucotome under television control","volume":"28","author":"Guiot","year":"1973","journal-title":"Acta Neurochir (Wien"},{"key":"R6-21-20240907","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1055\/s-2003-37147","article-title":"Shunt-Operation versus endoskopische Ventrikulostomie beim Normaldruckhydrozephalus: Diagnostik und Outcome [Shunt operation versus endoscopic ventriculostomy in normal pressure hydrocephalus: Diagnostics and outcome]","volume":"64","author":"Meier","year":"2003","journal-title":"Zentralbl Neurochir"},{"key":"R7-21-20240907","first-page":"188","article-title":"Lumboperitoneal shunts: Review of 409 cases","volume":"52","author":"Yadav","year":"2004","journal-title":"Neurol India"},{"key":"R8-21-20240907","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.3171\/2018.4.JNS172316","article-title":"Founder of modern hydrocephalus diagnosis and therapy: Walter Dandy at the Johns Hopkins Hospital","volume":"131","author":"Blitz","year":"2019","journal-title":"J Neurosurg JNS"}],"container-title":["Neurology India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.383847","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:30:09Z","timestamp":1786725009000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.383847"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/0028-3886.383847","relation":{},"ISSN":["0028-3886"],"issn-type":[{"value":"0028-3886","type":"print"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}