الفهرس 
Epidemiology
The frontal horn (12)Only 14 pages are availabe for public view
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Abstract
Objective: The study aims at comparing the outcome of endoscopic third ventriculostomy versus ventriculo-peritoneal shunt in management of hydrocephalus in the first year of life.
Methods: The study was done retrospectively in the Neurosurgery Department, on infants admitted in the period from January 2016 through February 2017, suffering from obstructive hydrocephalus. The study was carried out to study the success rate of ETV as a treatment for hydrocephalus in such age group, in comparison with V-P shunt application, Study started after enrollment of 40 infants to be divided to two groups, first to undergo ETV and second to undergo V-P shunt application as a CSF diversion methods to treat obstructive hydrocephalus.
Results: Infection was more in cases of ventriculo-peritoneal shunts (12/20 60%), while obstruction was less frequent in the case of ETV (7/20 75%), whereas the results were nearly similar in case of increased head size after surgery and the need for further surgical intervention.
Conclusion: we interpret our results to suggest that, for at least this unique group of patients, initial treatment with ETV might be considered a reasonable alternative to shunt, with some important caveats. First, treatment failure was much higher in the youngest patients, especially under 6 months. In these patients, the use of ETV must be exercised with care, keeping in mind the greater risk of failure, which should be conveyed in discussions with families. This group is also one in whom the role of CPC might be beneficial and should be investigated.