Ultrasonography can be used in utero to diagnose aqueductal stenosis by showing dilation of the lateral and third ventricles.
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If the procedure does not successfully cure the aqueductal stenosis, a second surgery can be performed to enlarge the incision or implant a shunt.
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Signs of aqueductal stenosis other than those mentioned in Causes of stenosis include detection of an enlarged lateral and third ventricle in conjunction with a smaller fourth ventricle.
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Patients under the age of two, diagnosed with aqueductal stenosis without a history of preterm birth or other associated brain anomalies are being included ( International Infant Hydrocephalus Study ).
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An alternative treatment for obstructive hydrocephalus in selected patients is the endoscopic third ventriculostomy ( ETV ), whereby a surgically created opening in the floor of the third ventricle allows the CSF to flow directly to the basal cisterns, thereby shortcutting any obstruction, as in aqueductal stenosis.