Penatalaksanaan Endoscopic Third Ventriculostomy pada Pasien dengan Hidrosefalus Non-Komunikan etcausa Tumor di Cerebellopontine Angle suspect Vestibular Schwannoma (Laporan Kasus)

The prior management to any form of hydrocephalus is by placing the ventriculoperitoneal shunt (VP-shunt) system. However, this method has a tendency to be complications such as malfunction and infection. The advances technology of neuroendocopy become new interest regarding endoscopic third ventriculostomy (ETV) as an option in the management of non-communicating hydrocephalus. Brain tumor in the cerebellopontine angle (CPA) is one of the causes non-communicating hydrocephalus that can blocked the normal flow of CSF. Most (80%) tumor in this area is the vestibular schwannoma.

This study presented a case of a 61 years old female, based on clinical symptoms, physical examination and support examination were diagnosed as a non-communicating hydrocephalus with CPA tumor suspected vestibular schwannoma. ETV has been done as the initial management of hydrocephalus to resolve the situation of this patient.

Postoperative follow-up showed clinical symptoms of hydrocehalus was relieved. Further action will perform elective craniotomy tumor excision, as the definitive management of this patient.