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    Sivashnu Murthy was tasked with editing a surgery video of an endoscopic third ventriculostomy (ETV) performed by Dr. Abilash Haridas. Murthy researched ETV to treat diseases that cause fluid blockages in the brain like hydrocephalus. An ETV creates an opening in the floor of the third ventricle to redistribute cerebrospinal fluid using an endoscope. While an ETV can help conditions like hydrocephalus, alternatives like a shunt are more invasive. Studying this procedure further motivated Murthy to help people with neurological diseases in their future career.

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    Sivashnu Murthy was tasked with editing a surgery video of an endoscopic third ventriculostomy (ETV) performed by Dr. Abilash Haridas. Murthy researched ETV to treat diseases that cause fluid blockages in the brain like hydrocephalus. An ETV creates an opening in the floor of the third ventricle to redistribute cerebrospinal fluid using an endoscope. While an ETV can help conditions like hydrocephalus, alternatives like a shunt are more invasive. Studying this procedure further motivated Murthy to help people with neurological diseases in their future career.

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    Sivashnu Murthy was tasked with editing a surgery video of an endoscopic third ventriculostomy (ETV) performed by Dr. Abilash Haridas. Murthy researched ETV to treat diseases that cause fluid blockages in the brain like hydrocephalus. An ETV creates an opening in the floor of the third ventricle to redistribute cerebrospinal fluid using an endoscope. While an ETV can help conditions like hydrocephalus, alternatives like a shunt are more invasive. Studying this procedure further motivated Murthy to help people with neurological diseases in their future career.

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    86 views3 pages

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    Sivashnu Murthy was tasked with editing a surgery video of an endoscopic third ventriculostomy (ETV) performed by Dr. Abilash Haridas. Murthy researched ETV to treat diseases that cause fluid blockages in the brain like hydrocephalus. An ETV creates an opening in the floor of the third ventricle to redistribute cerebrospinal fluid using an endoscope. While an ETV can help conditions like hydrocephalus, alternatives like a shunt are more invasive. Studying this procedure further motivated Murthy to help people with neurological diseases in their future career.

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    of 3

    ‭Murthy‬‭1‬

    ‭Sivashnu Murthy‬

    ‭Ginger McClendon‬

    ‭Prosper Career Independent Study‬

    ‭10 November 2023‬

    ‭Endoscopic Third Ventriculostomy‬

    ‭At the beginning of this week, I was tasked by Dr. Abilash Haridas, a renowned‬

    ‭neurosurgeon in Tampa, Florida, to edit a surgery video that detailed the entire procedure of an‬

    ‭endoscopic third ventriculostomy (specifically from the laparoscopic perspective). In my future‬

    ‭endeavors, I want to pursue a career in neurosurgery, and since this is one of the simpler‬

    ‭procedures, I want to thoroughly explore this surgery before moving on to complicated robotic‬

    ‭spine surgeries, experimental surgeries, etc. I was interested in researching about the diseases‬

    ‭that create a necessity for an endoscopic third ventriculostomy (ETV) and the general procedure‬

    ‭of an endoscopic third ventriculostomy.‬

    ‭Firstly, the diseases this procedure cures/provides palliative care towards include‬

    ‭hydrocephalus (which is the most common form of this procedure), Dandy-Walker‬

    ‭malformation, syringomyelia, intraventricular hematoma, encephalocele, posterior fossa tumor,‬

    ‭and craniosynostosis. Regarding most of these diseases, one thing that is held in common‬

    ‭between all of them is the concept of a fluid-filled cyst or a blockage in the central nervous‬

    ‭system (this pertains to the brain and the spinal cord). These cysts or blockages restrict the flow‬

    ‭of cerebrospinal fluid, which is an agent that cushions the brain against the skull. Hence, without‬

    ‭the proper flow of cerebrospinal fluid, there are high chances of cerebral contusions (trauma‬

    ‭impacting the brain from hitting the inner skull), other irritations affecting the brain, and‬
    ‭Murthy‬‭2‬

    ‭abnormalities to normal bodily functions affecting activities of daily living (ADLs). Hence, this‬

    ‭procedure carries a lot of weight in the neuroscience field, and it was really interesting to see‬

    ‭how Dr. Abilash Haridas uses the endoscopic technique to treat someone’s ailment.‬

    ‭Secondly, the process of this procedure is very interesting, especially in its transformation‬

    ‭throughout time. When this procedure was first tried, it was performed by William Mixter, who‬

    ‭was a urologist (a doctor who specializes in the urinary tract and their subsequent organs), using‬

    ‭a urethroscope. Since the pioneering of this procedure, the ETV has become standardized with‬

    ‭current medical equipment to provide the greatest success rates in a hospital setting. In this‬

    ‭procedure, the doctor needs to create an opening at the floor of the third ventricle, and this will‬

    ‭naturally distribute the cerebral spinal fluid to other places in the body. This is done with an‬

    ‭endoscope, which enters the cranial cavity through a small incision (invasive procedure) and‬

    ‭pokes multiple holes in the floor of the third ventricle. On the contrary, if a patient with‬

    ‭hydrocephalus doesn’t want to choose an ETV, another possibility is the usage of a shunt (a tube‬

    ‭that is used to transfer cerebral spinal fluid to other places in the body), which is far more‬

    ‭tedious.‬

    ‭In conclusion, after finishing my research, I feel even more motivated to help people in‬

    ‭the neuroscience field because there are a plethora of diseases that can cause insurmountable‬

    ‭pain in one’s life. People with hydrocephalus have enlarged heads, ongoing irritation, and high‬

    ‭risks of internal trauma, which can really jeopardize one’s life. I’m really looking forward to‬

    ‭working with Dr. Abilash Haridas, learning more about different surgeries, and generally helping‬

    ‭out people around the world with my limited capabilities.‬


    ‭Murthy‬‭3‬

    ‭Works Cited:‬

    ‭Endoscopic Third Ventriculostomy | Treatments and Procedures‬‭.‬

    ‭www.cincinnatichildrens.org/health/e/endoscopic-third-ventriculostomy.‬

    ‭ETV/CPC Procedure | Boston Children’s Hospital‬‭.‬

    ‭www.childrenshospital.org/treatments/etv-cpc-procedure#:~:text=ETV%20is%20a%20m‬

    ‭inimally%20invasive,escape%20into%20its%20normal%20pathway.‬

    ‭Yadav, Yad Ram et al. “Endoscopic third ventriculostomy.”‬‭Journal of neurosciences in rural‬

    ‭practice‬‭vol. 3,2 (2012): 163-73. doi:10.4103/0976-3147.98222‬

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