ETV Plus CPC

ETV + CPC (Endoscopic Third Ventriculostomy with Choroid Plexus Cauterization) in Bangladesh – A Shunt-Free Revolution in Infant Hydrocephalus Management by Dr. Md. Nafaur Rahman ETV + CPC (Endoscopic Third Ventriculostomy with Choroid Plexus Cauterization) is a transformative, minimally invasive neurosurgical procedure that offers a shunt-free solution for infant hydrocephalus. In recent years, this technique has proven to be especially valuable in developing countries like Bangladesh, where the burden of congenital and post-infectious hydrocephalus is high and long-term shunt dependency poses significant challenges. Dr. Md. Nafaur Rahman, Assistant Professor of Pediatric Neurosurgery at the National Institute of Neurosciences & Hospital, and Chief Consultant at the Bangladesh Paediatric Neurocare Centre, is one of the country’s most skilled and experienced neurosurgeons performing ETV+CPC with a high success rate. His dedication to advanced, affordable, and safe neurosurgical care has made him a trusted name among parents and pediatricians nationwide. 🧠 What is ETV + CPC? ETV + CPC combines two powerful techniques: Endoscopic Third Ventriculostomy (ETV): A natural bypass is created within the brain’s ventricular system to allow cerebrospinal fluid (CSF) to flow around obstructions. Choroid Plexus Cauterization (CPC): The choroid plexus—where CSF is produced—is cauterized (partially destroyed) to reduce excess fluid production. Together, these techniques control hydrocephalus without a shunt, especially in infants younger than 1 year, for whom traditional ETV alone is less effective. 👶 Why ETV + CPC Is Crucial in the Bangladesh Context In Bangladesh, many infants suffer from: Congenital hydrocephalus (e.g., aqueductal stenosis) Post-infectious hydrocephalus (e.g., post-meningitis) Premature or low birth weight-related hydrocephalus Shunt complications and infections in rural areas ETV+CPC offers a game-changing alternative to lifelong shunt dependency, reducing risks of infection, shunt failure, and repeated hospitalizations—particularly in rural and underserved regions. 🏥 Where is ETV + CPC Performed in Bangladesh? ETV + CPC is currently available at: National Institute of Neurosciences & Hospital (NINS&H), Dhaka Bangladesh Paediatric Neurocare Centre, under the expert care of Dr. Md. Nafaur Rahman With state-of-the-art endoscopic neurosurgical equipment, skilled anesthesia teams, neonatal ICU support, and advanced imaging facilities, these centers are pioneers in infant hydrocephalus care in Bangladesh. 👨‍⚕️ About Dr. Md. Nafaur Rahman – Bangladesh’s Leading ETV+CPC Surgeon 🎓 Assistant Professor, Department of Pediatric Neurosurgery, NINS&H 🏥 Chief Consultant, Bangladesh Paediatric Neurocare Centre 🔬 Advanced training in pediatric neuroendoscopy and hydrocephalus management 👶 Successfully performed numerous ETV+CPC surgeries in infants Recognized nationally for his ethical, evidence-based approach Dr. Nafaur’s work has given hundreds of children a chance to live without shunts, minimizing complications and optimizing neurodevelopmental outcomes. ✅ Advantages of ETV + CPC Over VP Shunt in Bangladesh No implanted device – reduces risk of blockage and infection One-time surgery – no need for frequent revisions Better suited for rural families with limited follow-up access Preserves natural CSF dynamics Improves long-term neurodevelopment in eligible infants Cost-effective in the long run 📈 ETV+CPC Success Rate in Infants While ETV alone has limited success in infants under 6 months, combining it with CPC improves the outcome dramatically. Success rates range from 60%–80%, depending on the cause of hydrocephalus and the child’s age and condition. Dr. Md. Nafaur Rahman follows the ETV+CPC success scoring system to determine eligibility, ensuring the best outcomes and minimizing unnecessary interventions. 🔄 Post-operative Care and Long-term Monitoring After ETV + CPC surgery, Dr. Nafaur’s team provides structured follow-up, which includes: MRI or CT to monitor CSF flow and ventricle size Neurodevelopmental evaluations Parental guidance to watch for symptoms of failure Counseling for nutrition, milestones, and infection prevention With proper follow-up, many children go on to thrive without ever needing a shunt. 🌍 Serving Families Across All Regions of Bangladesh Whether you live in Dhaka, Chattogram, Sylhet, Khulna, Rajshahi, Barisal, Mymensingh, or any remote region—Dr. Nafaur Rahman’s clinics are accessible to provide expert consultation, surgery, and follow-up for infant hydrocephalus. 📞 Book a Consultation or Emergency Referral For assessment of your baby’s hydrocephalus or to explore shunt-free options like ETV + CPC, contact Dr. Nafaur Rahman directly: 📱 Serial Numbers: +8801912988182 +8801607033535 🌐 Website: www.neurosurgeonnafaur.com 📍 Clinics: National Institute of Neurosciences & Hospital | Bangladesh Paediatric Neurocare Centre