Frequency and Pattern of Early Complications after Endoscopic Third Ventriculostomy in Obstructive Hydrocephalus
Bibliographic record
Abstract
Objective: The aim of this study is to determine the frequency of complication among patients after endoscopic third ventriculostomy in obstructive hydrocephalus. Study Design: Descriptive study Place and Duration: Conducted at the department of Neurosurgery, Bacha Khan Medical College Mardan/ Medical Complex Mardan and Frontier Medical and Dental College, Abbottabad for duration of 06 months from April 2021 to September 2021. Methods: There were one hundred and fifteen patients of both genders with ages 1-40 years were presented. Included patients had obstructive hydrocephalus. Detailed demographics, including age, sex, and BMI, were obtained from all patients with signed permission. Patients underwent CT scan and brain MRI. Endoscopic third ventriculostomy was performed among all the cases after indication of symptoms. Post-treatment effectiveness and complication were assessed after follow up within duration of 2-weeks. SPSS 25.0 version was used to analyze all data. Results: Mean age of the patients was 6.2 ±3.25 years. Among 115 cases, 70 (60.9%) were males and 45 (29.1%) were female patients. Aqueductal stenosis was the most common disease found in 77 (67%) cases followed by posterior fossa tumours 20 (17.4%), VP shunt blocked in 17 (14.8%) and CSF ascites in 3 (2.6%) cases. We found complications in 24 (20.9%) cases CSF leak was the most common found in 12 (10.4%) cases, meningitis in 4 (3.5%), seizures and bleeding in 3 (2.6%). Mortality found in 2 (1.7%) cases. Conclusion: We concluded in this study that the endoscopic third ventriculostomy is an effective and safe method for the patients of obstructive hydrocephalus in terms of minimum complication with lower rate of mortality. Keywords: Endoscopic Third Ventriculostomy, Obstructive Hydrocephalus, Mortality, Complications
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".