| The role of endoscopic third ventriculostomy in the management of shunt malfunction. | |
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MedLine Citation:
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PMID: 9848845 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate the effectiveness of third ventriculostomy as an alternative to shunt revision in the management of shunt malfunction and infection in obstructive hydrocephalus. METHODS: All of the clinical notes of 30 patients treated with third ventriculostomy for malfunctioning or infected shunts between January 1, 1974, and December 31, 1996, were retrospectively reviewed. Third ventriculostomy was performed under fluoroscopic control in the first seven patients and endoscopically in the remainder. A successful outcome was achieved if further shunt revision surgery was avoided. The median follow-up duration was 8.7 years RESULTS: Twenty-three patients (76.7%) experienced successful outcomes, resulting in shunt independence. Of the seven failures, three were technical failures at the time of surgery and the remaining four were manifest within a median of 10 days, resulting in shunt revision. There have been no delayed failures. CONCLUSION: Third ventriculostomy is a valuable alternative to shunt revision in patients affected by obstructive hydrocephalus presenting with shunt malfunction or infection. It should be considered in all suitable cases as the first-line treatment for obstructive hydrocephalus of all causes. Because all failures were manifest within a short time, it is likely that these successes will be durable. |
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Authors:
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G Cinalli; C Salazar; C Mallucci; J Z Yada; M Zerah; C Sainte-Rose |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Neurosurgery Volume: 43 ISSN: 0148-396X ISO Abbreviation: Neurosurgery Publication Date: 1998 Dec |
Date Detail:
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Created Date: 1999-03-12 Completed Date: 1999-03-12 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1323-7; discussion 1327-9 Citation Subset: IM |
Affiliation:
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Department of Pediatric Neurosurgery, Hôpital Necker-Enfants Malades, Université René Decartes, Paris, France. |
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 Shunts* / adverse effects Child Child, Preschool Encephalitis / epidemiology, etiology Endoscopy* / adverse effects Equipment Failure Female Follow-Up Studies France / epidemiology Hemorrhage / epidemiology, etiology Humans Hydrocephalus / epidemiology, surgery* Infant Intracranial Pressure Male Postoperative Complications / epidemiology Retrospective Studies Treatment Outcome Ventriculostomy / adverse effects, methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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