Third Ventriculostomy (ETV/CPC)

Endoscopic third ventriculostomy (ETV) ± choroid plexus coagulation (CPC) may be considered when congenital hydrocephalus is primarily obstructive (e.g., aqueductal stenosis), or when previous shunting is not tolerated and imaging assessment indicates suitable anatomical conditions. The decision is influenced by factors such as etiology, age, ventricular anatomy, previous treatment response, infection status, and overall nutritional and anesthetic risks, as determined by a specialist team.