Document Detail

Endoscopic third ventriculostomy in infants.
MedLine Citation:
PMID:  16122005     Owner:  NLM     Status:  MEDLINE    
OBJECT: The failure rate following endoscopic third ventriculostomy (ETV) in infants younger than 1 year of age has been reported to be higher compared with that of older children. The authors present results of ETVs in such infants and advocate that success or failure of the procedure depends not on the age of the patient but on the cause of the hydrocephalus. METHODS: The authors retrospectively reviewed the management and outcome of 18 ETVs in infants for the treatment of hydrocephalus. The surgeries were performed between November 1996 and October 2002. The mean age at the time of surgery was 150 days (range 9-354 days). The minimal follow-up period was 18 months and the mean was 50 months. The authors divided the patients into the following three groups: obstructive hydrocephalus (four infants), communicating hydrocephalus (10 infants), and hydrocephalus associated with myelomeningocele (four infants). No perioperative death occurred, and perioperative transient morbidity related to ETV was low. The success of the procedure was determined by the cause of the hydrocephalus. Infants with obstructive hydrocephalus had a 100% success rate (four of four), and infants with communicating hydrocephalus had a 10% success rate (one of 10). In infants with hydrocephalus related to myelomeningocele, the success rate was 50% (two of four). CONCLUSIONS: The authors conclude that ETV presents an effective alternative for the treatment of obstructive hydrocephalus in infants younger than 1 year of age. Age does not present a contraindication for ETV, nor does it increase the perioperative risk. The success of ETV is determined by the cause of the hydrocephalus.
Michael J Fritsch; Sven Kienke; Tobias Ankermann; Maurizio Padoin; H Maximilian Mehdorn
Related Documents :
6394325 - Periventricular hemorrhagic leukomalacia. ultrasonographic findings in premature neonates.
16225175 - A follow-up study of infants with intracranial hemorrhage at full-term.
22353295 - Migrating focal seizures during infancy: a case report and pathologic study.
16882805 - Natural history of brain lesions in extremely preterm infants studied with serial magne...
2313395 - The role of the lumbar puncture in the admission sepsis evaluation of the premature inf...
23311885 - Maternal deaths: initial report of an on-going monitoring of maternal deaths at the fed...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  103     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-08-26     Completed Date:  2005-10-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  50-3     Citation Subset:  AIM; IM    
Department of Neurosurgery, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Age Factors
Hydrocephalus / etiology*,  surgery*
Infant, Newborn
Retrospective Studies
Third Ventricle / surgery*
Treatment Outcome
Ventriculostomy / methods*

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

Previous Document:  Mechanisms of failure after endoscopic third ventriculostomy in young infants.
Next Document:  Neuroendoscopic transventricular ventriculocystostomy in treatment for intracranial cysts.