gms | German Medical Science

57th Annual Meeting of the German Society of Neurosurgery
Joint Meeting with the Japanese Neurosurgical Society

German Society of Neurosurgery (DGNC)

11 - 14 May, Essen

Endoscopic Third Ventriculostomy (ETV) in infants under one year of age: A German multicenter study

Endoskopische Third Ventrikulostomie (ETV) bei Kindern im ersten Lebensjahr (Deutsche Multizenterstudie)

Meeting Abstract

  • corresponding author M.J. Fritsch - Klinik für Neurochirurgie Kiel
  • U. Kehler - Klinik für Neurochirurgie Hamburg
  • A. Joedicke - Klinik für Neurochirurgie Gießen
  • J. Boschert - Klinik für Neurochirurgie Mannheim
  • W. Wagner - Klinik für Neurochirurgie Mainz

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 57. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie. Essen, 11.-14.05.2006. Düsseldorf, Köln: German Medical Science; 2006. DocFR.12.01

The electronic version of this article is the complete one and can be found online at:

Published: May 8, 2006

© 2006 Fritsch et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Objective: Controversy exists, if there is an indication for ETV in infants. The question remains if age or rather aetiology influences outcome.

Methods: In a multicenter retrospective analysis we evaluated the outcome of 78 infants (44 male, 34 female) who had undergone ETV. Follow-up was 48 months (12 – 89). Age at the time of surgery was 1-354 days (mean 119 d). Patients were evaluated regarding the influence of age and aetiology on the success or failure of the procedure.

Results: Patients with isolated idiopathic Aqueductal Stenosis (AS) had a success rate of 59% at 1 year follow-up. Patients with all other aetiologies (intraventricular haemorrhage, meningitis, MMC) did not demonstrate long lasting sufficiency of ETV. The success rate of ETV increased with age.

Conclusions: Aetiology and age seem to influence the long-term sufficiency of ETV in infants under one year of age. However, the only patient group that clearly benefits from the procedure are patients with isolated idiopathic AS.