Y-shaped branched ventriculo-peritoneal shunt for adult multiloculated hydrocephalus

The decision on which treatment to apply is based on individual anatomy, underlying pathology, available techniques, and the experience of the treating surgeon. [...]no procedure proposed by the literature should be ruled out a priori. [...]connect the Y-shaped connector to the shunt valve and subsequent peritoneal catheter. According to our experience, branched VPS is indicated as the treatment of choice in some MLH cases. [...]the branched VPS strategy can be the first choice for MLH cases with diffuse midline glioma involving the bilateral thalamus and hydrocephalus with trapped temporal/occipital horn. Selected bias might exist due to the small sample size. [...]results should be interpreted cautiously, we call for larger clinical randomized controlled trials in the future.