Cognitive frustration in the patients with occlusive hydrocephalus: possibility of surgical correction

Optimization of the surgical tactics of treatment of the patients with occlusive hydrocephalus through impact of algorithm of differential diagnosis and minimally invasive endoscopic lll-ventriculostomy was the main aim of the study. Clinical (including cognitive functions) and instrumental manifestation of hydrocephalus in two groups of patients differentiated by the method of surgery (ETV vs. VPSh) were analyzed. Dynamics of clinical state, CT/MRI, quality of life, restoration of cognitive functions, outcome significantly differed between groups. ETV proved to be an optimal and cost-effective method of choice in surgical treatment of occlusive hydrocephalus in patient with preserved CSF resorbtion.