Dysfunction of endoscopic third ventriculostomy in children

Introduction: Neuroendoscopy is particularly useful as an adjunct in the treatment of hydrocephalus. CSF physiology differs among neonates, children and adults leading to different and conflicting results in the treatment of hydrocephalus using neuroendoscopy. The aim of our study was to review the...

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Autores principales:	Luciano Lopes Furlanetti, Marcelo Volpon Santos, Ricardo Santos de Oliveira, Matheus Fernando Manzolli Ballestero
Formato:	article
Lenguaje:	EN
Publicado:	Brazilian Society for Pediatric Neurosurgery 2019
Materias:	neuroendoscopy endoscopic third ventriculostomy newborn obstructive hydrocephalus ventriculoperitoneal shunt Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/b04456f7f3b6435b99ba5669aa34f0dc
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spelling	oai:doaj.org-article:b04456f7f3b6435b99ba5669aa34f0dc2021-11-23T21:46:37ZDysfunction of endoscopic third ventriculostomy in children2675-362610.29327/apn.v1i1(September-December).5https://doaj.org/article/b04456f7f3b6435b99ba5669aa34f0dc2019-08-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/5https://doaj.org/toc/2675-3626Introduction: Neuroendoscopy is particularly useful as an adjunct in the treatment of hydrocephalus. CSF physiology differs among neonates, children and adults leading to different and conflicting results in the treatment of hydrocephalus using neuroendoscopy. The aim of our study was to review the literature regarding to analyze predictive clinical and imaging models available and discuss specific aspects of the endoscopic approach to hydrocephalus in infants Methods: Review of the medical literature to analyze predictive clinical and imaging models available and discuss specific aspects of the endoscopic approach to hydrocephalus children. Data of our series of ETV were analyzed. The patients were categorized in 3 groups: Group A (< 6 months of age), Group B (from 6 months to 1 year-old) and group C ( >1 year-old). Results: Group A - 12 patients , group B - 17 patients and group C - 85 patients. The etiology of hydrocephalus was tumors in 33 (29 %), aqueduct stenosis in 33 (29 %), cerebral malformations in 24 (21 %). The ETVSS in the low, moderate and high ETVSS groups was respectively 40%, 70.9% and 92.6%, the actual success rate: 58%, 65% and 86%. The complication rates in groups A, B and C were 33 %, 24 %, and 8 %, respectively (p=0.022). Conclusion: Endoscopic third ventriculostomy provides very good results for a number of indications in children. Every effort should be made to optimize the selection of surgical candidates on the basis of their clinical features.Luciano Lopes FurlanettiMarcelo Volpon SantosRicardo Santos de OliveiraMatheus Fernando Manzolli BallesteroBrazilian Society for Pediatric Neurosurgeryarticleneuroendoscopyendoscopic third ventriculostomynewbornobstructive hydrocephalusventriculoperitoneal shuntPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 1, Iss 1(September-December), Pp 8-17 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	neuroendoscopy endoscopic third ventriculostomy newborn obstructive hydrocephalus ventriculoperitoneal shunt Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	neuroendoscopy endoscopic third ventriculostomy newborn obstructive hydrocephalus ventriculoperitoneal shunt Pediatrics RJ1-570 Surgery RD1-811 Luciano Lopes Furlanetti Marcelo Volpon Santos Ricardo Santos de Oliveira Matheus Fernando Manzolli Ballestero Dysfunction of endoscopic third ventriculostomy in children
description	Introduction: Neuroendoscopy is particularly useful as an adjunct in the treatment of hydrocephalus. CSF physiology differs among neonates, children and adults leading to different and conflicting results in the treatment of hydrocephalus using neuroendoscopy. The aim of our study was to review the literature regarding to analyze predictive clinical and imaging models available and discuss specific aspects of the endoscopic approach to hydrocephalus in infants Methods: Review of the medical literature to analyze predictive clinical and imaging models available and discuss specific aspects of the endoscopic approach to hydrocephalus children. Data of our series of ETV were analyzed. The patients were categorized in 3 groups: Group A (< 6 months of age), Group B (from 6 months to 1 year-old) and group C ( >1 year-old). Results: Group A - 12 patients , group B - 17 patients and group C - 85 patients. The etiology of hydrocephalus was tumors in 33 (29 %), aqueduct stenosis in 33 (29 %), cerebral malformations in 24 (21 %). The ETVSS in the low, moderate and high ETVSS groups was respectively 40%, 70.9% and 92.6%, the actual success rate: 58%, 65% and 86%. The complication rates in groups A, B and C were 33 %, 24 %, and 8 %, respectively (p=0.022). Conclusion: Endoscopic third ventriculostomy provides very good results for a number of indications in children. Every effort should be made to optimize the selection of surgical candidates on the basis of their clinical features.
format	article
author	Luciano Lopes Furlanetti Marcelo Volpon Santos Ricardo Santos de Oliveira Matheus Fernando Manzolli Ballestero
author_facet	Luciano Lopes Furlanetti Marcelo Volpon Santos Ricardo Santos de Oliveira Matheus Fernando Manzolli Ballestero
author_sort	Luciano Lopes Furlanetti
title	Dysfunction of endoscopic third ventriculostomy in children
title_short	Dysfunction of endoscopic third ventriculostomy in children
title_full	Dysfunction of endoscopic third ventriculostomy in children
title_fullStr	Dysfunction of endoscopic third ventriculostomy in children
title_full_unstemmed	Dysfunction of endoscopic third ventriculostomy in children
title_sort	dysfunction of endoscopic third ventriculostomy in children
publisher	Brazilian Society for Pediatric Neurosurgery
publishDate	2019
url	https://doaj.org/article/b04456f7f3b6435b99ba5669aa34f0dc
work_keys_str_mv	AT lucianolopesfurlanetti dysfunctionofendoscopicthirdventriculostomyinchildren AT marcelovolponsantos dysfunctionofendoscopicthirdventriculostomyinchildren AT ricardosantosdeoliveira dysfunctionofendoscopicthirdventriculostomyinchildren AT matheusfernandomanzolliballestero dysfunctionofendoscopicthirdventriculostomyinchildren
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Dysfunction of endoscopic third ventriculostomy in children

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