Coagulación de plexo coroideo como procedimiento aislado en el tratamiento de la hidrocefalia

Abstract

Choroid plexus coagulation (CPC) is a procedure that borns from the historical attempt to treat hydrocephalus. Developed in the first half of the 20th century, but posteriorly abandoned due to its low success rate and high complication rate. With the advent of modern neuroendoscopy the idea of CPC is adapted in an intent to give space to alternatives to cerebrospinal fluid (CSF) shunting as the standard procedure to treat hydrocephalus. At present, its use has diffused majorly in conjunction with endoscopic third ventriculostomy as an effective, cheaper and exempt of inherent risks of CSF shunting option. However, its success as an isolate procedure has been reported in select cases such as slowly progressive communicating hydrocephalus, hydranencephaly and a possible role in the treatment of choroid plexus hyperplasia. The objective of this review is to analyze the data on the effectiveness of isolated CPC as a treatment for hydrocephalus in various clinical settings to determine its usefulness in current clinical practice and to identify the variables associated with its success.