Document Detail

The role of endoscopic third ventriculostomy in the management of shunt malfunction.
MedLine Citation:
PMID:  9848845     Owner:  NLM     Status:  MEDLINE    
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.
G Cinalli; C Salazar; C Mallucci; J Z Yada; M Zerah; C Sainte-Rose
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neurosurgery     Volume:  43     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-03-12     Completed Date:  1999-03-12     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1323-7; discussion 1327-9     Citation Subset:  IM    
Department of Pediatric Neurosurgery, Hôpital Necker-Enfants Malades, Université René Decartes, Paris, France.
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MeSH Terms
Cerebrospinal Fluid Shunts* / adverse effects
Child, Preschool
Encephalitis / epidemiology,  etiology
Endoscopy* / adverse effects
Equipment Failure
Follow-Up Studies
France / epidemiology
Hemorrhage / epidemiology,  etiology
Hydrocephalus / epidemiology,  surgery*
Intracranial Pressure
Postoperative Complications / epidemiology
Retrospective Studies
Treatment Outcome
Ventriculostomy / adverse effects,  methods*

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