Initial treatment of hydrocephalus: shunt versus third ventriculostomy

A retrospective analysis of over five thousand infants treated for hydrocephalus across multiple institutions compared the results of endoscopic third ventriculostomy (ETV) versus shunt therapy. Infants undergoing ETV had a higher rate of operative failure at one year of age (65% vs 40%), even after controlling for prematurity, intraventricular hemorrhage and spina bifida. This risk was most significant for procedures performed within the first 90 days of life.

Ventricular shunt placement versus endoscopic third ventriculostomy for hydrocephalus. Jernigan et al, 2014.