| Endoscopic third ventriculostomy for malfunction in previously shunted infants. | |
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MedLine Citation:
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PMID: 19082608 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The usage of endoscopic third ventriculostomy (ETV) as an alternative to shunt revision in the management of shunt malfunction is gaining popularity. METHODS: We review the clinical data of 45 patients who underwent ETV because of ventriculopritoneal shunt malfunction at Hacettepe University School of Medicine Department of Neurosurgery between January 2002 and August 2007. Medical records of the patients were retrospectively studied. RESULTS: Male-to-female ratio was 23/22. The cause of the hydrocephalus was aqueduct stenosis in 21 (46.9%) patients, newborn meningitis in nine (20%) patients, tumor in six (13.3%) patients, newborn intraventricular hemorrhage in four (8.8%) patients, myelomeningocele in three (6.6%), and trauma in two (2.2%) patients. Of the patients, 27 (60%) had triventricular and 18 (40%) had tetraventricular hydrocephalus at their radiologic evaluation. On admission, all patients had at least one episode of shunt dysfunction prior to ETV. Follow-up duration after surgery was 1-5 years (mean 2.46 +/- 1.64 years). Postoperative cerebrospinal fluid flow studies using the cine-PC MR imaging were performed on all patients. The overall success rate for ETV after shunt malfunction was 80% with 36 patients and failure rate was 20% with nine patients. All of these nine patients had undergone shunt insertion within 10 days-1 month after unsuccessful ETV. CONCLUSION: Endoscopic third ventriculostomy is an effective treatment for shunt malfunction. |
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Authors:
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Burçak Bilginer; Kader Karli Oguz; Nejat Akalan |
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Publication Detail:
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Type: Journal Article Date: 2008-12-11 |
Journal Detail:
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Title: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Volume: 25 ISSN: 1433-0350 ISO Abbreviation: Childs Nerv Syst Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-05-01 Completed Date: 2009-08-03 Revised Date: 2010-01-22 |
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: 683-8 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Hacettepe University School of Medicine, Ankara, Turkey. burcak@tr.net |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Cerebrospinal Fluid / physiology Child Child, Preschool Equipment Failure Female Follow-Up Studies Humans Infant Male Neuroendoscopy / methods Retrospective Studies Third Ventricle / pathology, physiopathology, surgery* Ventriculoperitoneal Shunt / instrumentation* Ventriculostomy / methods* Young Adult |
| Comments/Corrections | |
Comment In:
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Childs Nerv Syst. 2010 Jan;26(1):3-4; author reply 5-6
[PMID:
19823851
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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