Neuroendoscopic septostomy in unilateral and bilateral ventricular hydrocephalus.

Autor: Armas-Melián K; Neurosurgery Department, Complejo Hospitalario Insular Materno Infantil, Las Palmas de Gran Canaria, Spain. kevinarmasmelian@hotmail.com., Ros B; Neurosurgery Department, Hospital Regional Universitario de Málaga, Málaga, Spain., Gómez-Barreno L; Neurosurgery Department, Complejo Hospitalario Insular Materno Infantil, Las Palmas de Gran Canaria, Spain., Iglesias S; Neurosurgery Department, Hospital Regional Universitario de Málaga, Málaga, Spain., Arráez MÁ; Neurosurgery Department, Hospital Regional Universitario de Málaga, Málaga, Spain.
Jazyk: angličtina
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2023 Jan; Vol. 39 (1), pp. 197-203. Date of Electronic Publication: 2022 Sep 26.
DOI: 10.1007/s00381-022-05690-6
Abstrakt: Purpose: This study describes the results of septostomy (SPT) in terms of success and analysis of follow-up in a series of pediatric patients diagnosed with unilateral ventricular hydrocephalus (UHV) and biventricular hydrocephalus (BVH).
Methods: A total of 29 pediatric patients diagnosed with UVH or BVH were included in this study. In UVH, a neuroendoscopic SPT was performed (sometimes accompanied by NEFPFMO). In those diagnosed with BVH, an SPT combined with VPS was carried out. Demographic, etiological, clinical, and diagnostic variables and percentage of treatment success were collected.
Results: SPT was successful during follow-up when no VPS was required in UVH and only unilateral VPS was implanted in BVH. At the time of surgery, 16 patients needed a ventriculoperitoneal shunt. The first SPT was successful in 22 patients, requiring a second surgery in 7 patients, from the oncology group diagnosed with BHV.
Conclusions: The surgical management of UVH and BVH still has some disclosure points to be reviewed. However, SPT seems to be a secure, non-traumatic, and efficient procedure.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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