The Current Status of Endoscopic Third Ventriculostomy in the Management of Non-Communicating Hydrocephalus
Autor: | Warwick Stening, Robert Jones, Bernard Kwok, Marianne Vonau |
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Rok vydání: | 1994 |
Předmět: |
Adult
Male Ventriculostomy medicine.medical_specialty Meningomyelocele Adolescent medicine.medical_treatment Non communicating hydrocephalus Third ventriculostomy Risk Factors SAFER Supine Position Humans Medicine Child Endoscopes medicine.diagnostic_test Brain Neoplasms business.industry Endoscopic third ventriculostomy Infant Endoscopy General Medicine medicine.disease Magnetic Resonance Imaging Surgery Hydrocephalus Treatment Outcome Female Neurology (clinical) Third Cerebral Ventricle Tomography X-Ray Computed business |
Zdroj: | min - Minimally Invasive Neurosurgery. 37:28-36 |
ISSN: | 1439-2291 0946-7211 |
DOI: | 10.1055/s-2008-1053445 |
Popis: | Improvements in the technology have made endoscopic third ventriculostomy safer than earlier technics of open third ventriculostomy as described by Scarf (14). Similarly, it is safer than the stereotactic technics used by Pierre-Kahn (10), Sayers (13), and Hoffman (4). The morbidity and mortality have decreased and the effectiveness has also increased (12, 15). Modern operations are based on Guiot's technique (2). In the management of hydrocephalus third ventriculostomy has to be compared with the treatment with intracranial shunts. Currently in our hands the procedure has a higher morbidity rate than a shunt operation. Our figures include those from our early experience (5)--more recent figures show a lower complication rate. We believe the higher morbidity is acceptable as the chance of being permanently cured is 80% in favourable cases. |
Databáze: | OpenAIRE |
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