Endoscopy is a very good surgical option for obstructive hydrocephalus. It avoid the need of placing a shunt and its associated complications and morbidity.
This patient presented with raised intracranial pressure due to fourth ventricular outlet obstruction causing obstructive hydrocephalus. He underwent endoscopic third ventriculostomy. The endoscope was inserted into the third ventricle, passed through the foramen of Monroe. Fogarthy's catheter was used to make a stoma in the floor of the third ventricle.
Patient had an eneventful recovery. Follow up CT scan showed resolution of hydrocephalus.