| Analysis of the success and failure of endoscopic third ventriculostomy in infants less than 1 year of age. | |
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MedLine Citation:
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PMID: 16964518 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Clinical Trial; Journal Article Date: 2006-09-09 |
Journal Detail:
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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:
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Created Date: 2007-01-03 Completed Date: 2007-10-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: Germany |
Other Details:
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Languages: eng Pagination: 151-5 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, University Hospital Maastricht, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Endoscopes* Female Humans Hydrocephalus / pathology*, surgery* Infant Infant, Newborn Male Third Ventricle / surgery* Treatment Outcome Ventriculostomy / methods* |
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