Aim: to present evidence for the use of endoscopic third ventriculostomy (ETV) in the treatment of holocord syrinx.
Methods: ETV has been used in the treatment of obstructive hydrocephalus and syringomyelia secondary to Chiari 1 malformation. However, there have been no reports of ETV being utilised in the management of a holocord. We report a case of an 18 year old male with a symptomatic holocord syrinx who was successfully treated via ETV.
Results: neurological improvement was noted both immediately and at follow up following ETV.
Conclusion: ETV may represent a viable treatment option for holocord syrinx in some population groups.
Keywords: Holocord syrinx; endoscopic third ventriculostomy; hydrocephalus.