Third ventriculostomy in fourth ventricle outlet obstruction



Hydrocephalus, Neuroendoscopy, Obstruction, ventriculostomy


A seven years-old boy presented with headache and progressive drowsiness. MRI demonstrated obstruction at the foramen of Magendie and foramina of Luschka. Child underwent an endoscopic third ventriculostomy (ETV). The postoperative course was uneventful. MRI scan showed a marked decrease in the size of the ventricles, showing therefore that cerebrospinal fluid flow through the ventricular system and subarachnoid space was restored


de Oliveira RS and Ballestero MFM  contributed equally to this manuscript

Author Biographies

Matheus Fernando Manzolli Ballestero

Department of Medicine, Federal University of São Carlos, São Carlos, Brazil


Ricardo Santos de Oliveira

President of the Brazilian Pediatric Neurosurgery Society (2019-2021) Member of the International Society for Pediatric Neurosurgery (ISPN) Member of the Asian-Australasian Society of  Pediatric Neurosurgery (AASPN) Member of Internacional Federation of Neuroendoscopy (IFNE) Division of Pediatric Neurosurgery - São Lucas Hospital Associate Professor / Livre-Docente - Division of  Neurosurgery Hospital das Clínicas - School of Medicine of Ribeirao Preto University of Sao Paulo Av. Bandeirantes, 3900, Monte Alege, CEP 14049-900, Ribeirao Preto, Sao Paulo, Brazil