ETV in infancy and childhood below 2 years of age for treatment of hydrocephalus
| Autor: | Ehab El Refaee, Joerg Baldauf, Marcus Vollmer, Ahmed El Damaty, Heidi Baechli, Andreas Unterberg, Michael Synowitz, Ahmed Eltanahy, Gesa Cohrs, Steffen Fleck, Henry W. S. Schroeder, Ahmed Zohdi, Sascha Marx |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Post-hemorrhagic Obstructive hydrocephalus Fourth ventricle Gastroenterology Ventriculostomy Internal medicine medicine Humans Vp shunt Aqueduct stenosis Child Retrospective Studies Third Ventricle business.industry Endoscopic third ventriculostomy Infant General Medicine medicine.disease Hydrocephalus Treatment Outcome Aqueductal stenosis Neuroendoscopy Pediatrics Perinatology and Child Health Etiology Original Article Neurology (clinical) Neurosurgery business |
| Zdroj: | Child's Nervous System |
| ISSN: | 1433-0350 0256-7040 |
| Popis: | Purpose Age and etiology play a crucial role in success of endoscopic third ventriculostomy (ETV) as a treatment of obstructive hydrocephalus. Outcome is worse in infants, and controversies still exist whether ETV is superior to shunt placement. We retrospectively analyzed 70 patients below 2 years from 4 different centers treated with ETV and assessed success. Methods Children Results We collected 70 patients. ETV success rate was 41.4%. The highest rate was in tumor-related hydrocephalus and fourth ventricle outlet obstruction (62.5%, 60%) and the lowest rate was in Chiari-type II and following infection (16.7%, 0%). The below 3 months age group showed relatively lower success rate (33.3%) in comparison to older groups which showed similar results (46.4%, 46.6%). Statistically, a previous VP shunt was a predictor for failure (p value Conclusion Factors suggesting a high possibility of failure were age |
| Databáze: | OpenAIRE |
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