Oh, What a Novel Idea: Let’s Try the Same Thing Again!

So, here we have a thrilling tale of a 20-year-old man who’s been playing musical chairs with neurosurgeons because his brain’s plumbing is a bit backed up—thanks to obstructive hydrocephalus. The poor guy’s been through the neurosurgical ringer, with not one, but two endoscopic third ventriculostomies (ETV). Spoiler alert: they didn’t quite stick the landing.

But wait, there’s more! Our intrepid doctors, armed with the audacity of hope and a shiny new stent, decide to go for round three. Because, you know, the definition of insanity hasn’t quite sunk in yet. They pop that stent in there, hoping it’s the charm to keep that pesky stoma from slamming shut again.

Fast forward 25 months, and it’s like a surprise party in the fourth ventricle—surprise, it’s enlarged! But hey, the stoma’s still open, and the stent’s exactly where they left it. It’s the little victories, right?

Now, let’s take a moment to appreciate the literature—19 whole cases of this stent shindig. With a success rate of 94.7%, it’s almost as good as my grandma’s meatloaf recipe. And complications? Only two cases, with one person actually having a bad time. Those are odds Vegas would envy.

In conclusion, our case study is a beacon of hope, a testament to human perseverance, and a reminder that sometimes, if you keep doing the same thing over and over, you might just get lucky. Third ventriculostomy with floor stenting: because when you’ve got a greater chance of stoma occlusion, it’s the hot new trend you just gotta try!