Document Detail


Analysis of the success and failure of endoscopic third ventriculostomy in infants less than 1 year of age.
MedLine Citation:
PMID:  16964518     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: In infants less than 1 year of age, the value of endoscopic third ventriculostomy (ETV) is controversial. It is believed to cause more morbidity and to have higher failure rates. We analyzed our data enlarging the reported pool of ETV outcome in infants less than 1 year of age. MATERIALS AND METHODS: We performed 12 ETVs in ten patients younger than 1 year of age. All patients had predominant supratentorial hydrocephalus. We defined ETV success as a shunt-free follow-up of at least 12 months, however, allowing re-ETV. CONCLUSION: ETV should be considered as initial treatment and carries low morbidity in these infants. As the immune system rapidly matures, postponing shunt implantation for several months or even weeks would make an ETV procedure worthwhile. On the other hand, as success probability rapidly increases 4 months after birth, re-ETV should always be considered first.
Authors:
A J R Balthasar; H Kort; E M J Cornips; E A M Beuls; J W Weber; J S H Vles
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2006-09-09
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  23     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-03     Completed Date:  2007-10-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  151-5     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, University Hospital Maastricht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Endoscopes*
Female
Humans
Hydrocephalus / pathology*,  surgery*
Infant
Infant, Newborn
Male
Third Ventricle / surgery*
Treatment Outcome
Ventriculostomy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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