Best Endoscopic Third Ventriculostomy Clinics in Spain

Indications for Endoscopic Third Ventriculostomy

Spanish neurosurgeons indicate this for the following conditions

• Normal pressure hydrocephalus
• Aqueductal stenosis
• Obstructive hydrocephalus
• Recurrent shunt failure
• Non-communicating hydrocephalus

Why is it Worth Visiting Spain for Endoscopic Third Ventriculostomy?

• Spain is home to some of the best medical institutions in the world, particularly in the field of neurosurgery. Spanish clinics offer world-class medical facilities and are certified by ISO, DNV-GL, JCI and EFQM.
• The best Endoscopic Third Ventriculostomy Clinics in Spain are
  • Quironsalud Hospital Barcelona is DNV-GL accredited hospital that attends more than half a million patients every year and always works towards improving its services
  • Clinica Rotger Quirónsalud has an excellent medical team comprised of 120 experienced doctors. The clinic has been serving patients globally for the past 78 years.

• The best Doctors for Endoscopic Third Ventriculostomy in Spain are
  • Dr. Pablo Clavel Laria is a renowned neurosurgeon specializing in brain and spine problems. He has 25 years of experience and is the founder of Instituto Clavel in Quironsalud, Barcelona
  • Dr. Jon Olabe Goxencia is an experienced micro neurosurgery expert having specialized skills in brain tumor removal and aneurysm surgeries. He has more than 12 years of experience

Diagnostics Before Endoscopic Third Ventriculostomy in Spain

Before undergoing surgery, you may need to perform several diagnostic tests to confirm the hydrocephalus diagnosis and determine if ETV is the best treatment option. These tests may include the following:

• MRI produces detailed brain images and can help diagnose hydrocephalus and identify any underlying causes.
• CT scans create detailed brain images and can help diagnose other abnormalities.
• A lumbar puncture removes a small amount of CSF from the spinal canal using a needle and can help diagnose hydrocephalus and measure the pressure of the CSF.
• Endoscopic evaluation is done by inserting an endoscope into the brain to visualize the ventricles and determine the severity and location of the hydrocephalus.

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Preparing for Endoscopic Third Ventriculostomy

The following steps will help you to prepare for ETV.

• It is important to consult with your doctor and discuss your medical history, your medications, and any allergies you may have.
• Your doctor will provide instructions on how to fast for a certain period, avoid certain medications or supplements, and stop smoking.
• Arrange for a caregiver, as you will need someone to drive you home and provide support.
• Pack comfortable clothing, a pillow, and any necessary medication or medical equipment that you may need during your stay.
• Talk to your doctor about the ETV and ask any questions you may have. This can help alleviate anxiety and prepare you mentally.

How is Endoscopic Third Ventriculostomy Done in Spain?

• You will be given general anesthesia, which means you will fall asleep and feel no pain. During the procedure, an endoscope is inserted, a thin, flexible tube with a camera attached to the end.
• A small incision is made in the scalp, usually near the hairline. The endoscope is then inserted through the incision and guided through the brain tissue to the brain's third ventricle, a fluid-filled space in the brain's center.
• Once the endoscope is in place, a small hole is made in the third ventricle using a tiny laser or other surgical instruments. This creates a new pathway for cerebrospinal fluid to flow out of the brain and be absorbed by the body.
• After completion of the procedure, the endoscope is removed, and the incision is closed with staples. The procedure takes three to four hours, depending on the level of complexity.

Recovery After Endoscopic Third Ventriculostomy

• The recovery depends on age, overall health, and the severity of hydrocephalus. You may need to stay in the hospital for a few days. During this time, the medical staff will monitor your vital signs and make sure you are comfortable.
• You may experience some pain or discomfort. The medical staff will provide pain medication
• The doctor will advise you to limit physical activity for some time. This will allow the brain to heal and reduce the risk of complications. Avoid activities that could increase intracranial pressure, such as bending over or lifting heavy objects.
• Schedule follow-up appointments with the doctor to monitor progress and ensure the ETV is working properly. The doctor may also recommend imaging tests to check the CSF flow.
• If you experience any symptoms, such as fever, severe headache, or drainage from the surgical site, immediately contact your doctor. Recovery takes two to three months.

Risks of Endoscopic Third Ventriculostomy

As with any surgical procedure, ETV carries some risks, including:

• Bleeding
• Brain damage
• Infection
• Vision problems
• Nerve damage
• CSF leakage