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This lady had postmeningitic hydrocephalus. Left-sided external ventricular drainage decompressed only the left lateral and third ventricle. The ependyma was inflammed and congested. Neuroendoscopic septostomy was done. There were webs occluding the foramen of Monro, which were perforated and the foramen was dilated leading to communication between both ventricles and third ventricle as well. A VP shunt was done at the end of the procedure. Shukla D. Neuroendoscopic treatment of idiopathic occlusion of unilateral foramen of Monro presenting as chronic headache. J Neurosci Rural Pract. 2016;7:128-131. DOI: 10.4103/0976-3147.172152 https://www.thieme-connect.de/product... Konar S, Devi BI, Shukla D. Neuroendoscopic management of Coexisting congenital agenesis of bilateral foramen of Monro with Aqueductal stenosis and tonsillar herniation: case report and review of the literature. World Neurosurgery2018;118:55-58.https://doi.org/10.1016/j.wneu.2018.0... https://www.sciencedirect.com/science...