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Erschienen in: Child's Nervous System 2/2007

01.02.2007 | Original Paper

Analysis of the success and failure of endoscopic third ventriculostomy in infants less than 1 year of age

verfasst von: A. J. R. Balthasar, H. Kort, E. M. J. Cornips, E. A. M. Beuls, J. W. Weber, J. S. H. Vles

Erschienen in: Child's Nervous System | Ausgabe 2/2007

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Abstract

Objectives

In infants less than 1 year of age, the value of endoscopic third ventriculostomy (ETV) is controversial. It is believed to cause more morbidity and to have higher failure rates. We analyzed our data enlarging the reported pool of ETV outcome in infants less than 1 year of age.

Materials and methods

We performed 12 ETVs in ten patients younger than 1 year of age. All patients had predominant supratentorial hydrocephalus. We defined ETV success as a shunt-free follow-up of at least 12 months, however, allowing re-ETV.

Conclusion

ETV should be considered as initial treatment and carries low morbidity in these infants. As the immune system rapidly matures, postponing shunt implantation for several months or even weeks would make an ETV procedure worthwhile. On the other hand, as success probability rapidly increases 4 months after birth, re-ETV should always be considered first.
Literatur
1.
Zurück zum Zitat Beems T, Grotenhuis JA (2002) Is the success rate of endoscopic third ventriculostomy age-dependent? An analysis of the results of endoscopic third ventriculostomy in young children. Childs Nerv Syst 18:605–608PubMedCrossRef Beems T, Grotenhuis JA (2002) Is the success rate of endoscopic third ventriculostomy age-dependent? An analysis of the results of endoscopic third ventriculostomy in young children. Childs Nerv Syst 18:605–608PubMedCrossRef
2.
Zurück zum Zitat Buxton N, Macarthur D, Mallucci C, Punt J, Vloeberghs M (1998) Neuroendoscopy in the premature population. Childs Nerv Syst 14:649–652PubMedCrossRef Buxton N, Macarthur D, Mallucci C, Punt J, Vloeberghs M (1998) Neuroendoscopy in the premature population. Childs Nerv Syst 14:649–652PubMedCrossRef
3.
Zurück zum Zitat Cinalli G, Sainte-Rose C, Chumas P, Zerah M, Brunelle F, Lot G, Pierre-Kahn A, Renier D (1999) Failure of third ventriculostomy in the treatment of aqueductal stenosis in children. J Neurosurg 90:448–454PubMed Cinalli G, Sainte-Rose C, Chumas P, Zerah M, Brunelle F, Lot G, Pierre-Kahn A, Renier D (1999) Failure of third ventriculostomy in the treatment of aqueductal stenosis in children. J Neurosurg 90:448–454PubMed
4.
Zurück zum Zitat Cohen AR (1994) Endoscopic ventricular surgery. Pediatr Neurosur 19:127–134CrossRef Cohen AR (1994) Endoscopic ventricular surgery. Pediatr Neurosur 19:127–134CrossRef
5.
Zurück zum Zitat Etus V, Ceylan S (2005) Success of endoscopic third ventriculostomy in children less than 2 years of age. Neurosurg Rev 28:284–288PubMedCrossRef Etus V, Ceylan S (2005) Success of endoscopic third ventriculostomy in children less than 2 years of age. Neurosurg Rev 28:284–288PubMedCrossRef
6.
Zurück zum Zitat Fritsch MJ, Mehdorn M (2002) Endoscopic intraventricular surgery for treatment of hydrocephalus and loculated CSF space in children less than one year of age. Pediatr Neurosurg 36(4):183–188PubMedCrossRef Fritsch MJ, Mehdorn M (2002) Endoscopic intraventricular surgery for treatment of hydrocephalus and loculated CSF space in children less than one year of age. Pediatr Neurosurg 36(4):183–188PubMedCrossRef
7.
Zurück zum Zitat Fritsch MJ, Kienke S, Ankermann T, Padoin M, Mehdorn HM (2005) Endoscopic third ventriculostomy in infants. J Neurosurg 103:50–53PubMed Fritsch MJ, Kienke S, Ankermann T, Padoin M, Mehdorn HM (2005) Endoscopic third ventriculostomy in infants. J Neurosurg 103:50–53PubMed
8.
Zurück zum Zitat Gorayeb RP, Cavalheiro S, Zymberg ST (2004) Endoscopic third ventriculostomy in children younger than 1 year of age. J Neurosurg Pediatrics 100(5 Suppl):427–429 Gorayeb RP, Cavalheiro S, Zymberg ST (2004) Endoscopic third ventriculostomy in children younger than 1 year of age. J Neurosurg Pediatrics 100(5 Suppl):427–429
9.
Zurück zum Zitat Javadpour M, Mallucci C, Brodbelt A, Golash A, May P (2001) The impact of endoscopic third ventriculostomy on the management of newly diagnosed hydrocephalus in infants. Pediatr Neurosurg 35(3):131–135PubMedCrossRef Javadpour M, Mallucci C, Brodbelt A, Golash A, May P (2001) The impact of endoscopic third ventriculostomy on the management of newly diagnosed hydrocephalus in infants. Pediatr Neurosurg 35(3):131–135PubMedCrossRef
10.
Zurück zum Zitat Jones RFC, Stening WA, Brydon M (1990) Endoscopic third ventriculostomy. Neurosurgery 26:86–92PubMedCrossRef Jones RFC, Stening WA, Brydon M (1990) Endoscopic third ventriculostomy. Neurosurgery 26:86–92PubMedCrossRef
11.
Zurück zum Zitat Koch D, Wagner W (2004) Endoscopic third ventriculostomy in infants of less than 1 year of age: which factors influence the outcome? Childs Nerv Syst 20(6):405–411PubMedCrossRef Koch D, Wagner W (2004) Endoscopic third ventriculostomy in infants of less than 1 year of age: which factors influence the outcome? Childs Nerv Syst 20(6):405–411PubMedCrossRef
12.
Zurück zum Zitat Ruggiero C, Cinalli G, Spennato P, Aliberti F, Cianciulli E, Trischitta V et al (2004) Endoscopic ETV in the treatment of hydrocephalus in posterior fossa tumor in children. Childs Nerv Syst 20(11–12):828–833PubMedCrossRef Ruggiero C, Cinalli G, Spennato P, Aliberti F, Cianciulli E, Trischitta V et al (2004) Endoscopic ETV in the treatment of hydrocephalus in posterior fossa tumor in children. Childs Nerv Syst 20(11–12):828–833PubMedCrossRef
13.
Zurück zum Zitat Scarrow AM, Levy EI, Pascucci L, Albright AL (2000) Outcome analysis of endoscopic III ventriculostomy. Childs Nerv Syst 16:442–445PubMedCrossRef Scarrow AM, Levy EI, Pascucci L, Albright AL (2000) Outcome analysis of endoscopic III ventriculostomy. Childs Nerv Syst 16:442–445PubMedCrossRef
14.
Zurück zum Zitat Siomin V, Cinalli G, Grotenhuis A, Golash A, Oi S, Kothbauer K, Weiner H, Roth J, Beni-Adani L, Pierre-Kahn A, Takahashi Y, Mallucci C, Abbott R, Wisoff J, Constantini S (2002) Endoscopic third ventriculostomy in patients with cerebrospinal fluid infections and/or hemorrhage. J Neurosurg 97:519–524PubMedCrossRef Siomin V, Cinalli G, Grotenhuis A, Golash A, Oi S, Kothbauer K, Weiner H, Roth J, Beni-Adani L, Pierre-Kahn A, Takahashi Y, Mallucci C, Abbott R, Wisoff J, Constantini S (2002) Endoscopic third ventriculostomy in patients with cerebrospinal fluid infections and/or hemorrhage. J Neurosurg 97:519–524PubMedCrossRef
15.
Zurück zum Zitat Teo C (1998) Third ventriculostomy in the treatment of hydrocephalus: experience with more than 120 cases. In: Hellwig D, Bauer BL (eds) Minimally invasive techniques for neurosurgery. Springer, Berlin Heidelberg New York, pp 73–76 Teo C (1998) Third ventriculostomy in the treatment of hydrocephalus: experience with more than 120 cases. In: Hellwig D, Bauer BL (eds) Minimally invasive techniques for neurosurgery. Springer, Berlin Heidelberg New York, pp 73–76
16.
Zurück zum Zitat Warf BC (2005) Hydrocephalus in Uganda: the predominance of infectious origin and primary management with endoscopic third ventriculostomy. J Neurosurg 102:1–15PubMed Warf BC (2005) Hydrocephalus in Uganda: the predominance of infectious origin and primary management with endoscopic third ventriculostomy. J Neurosurg 102:1–15PubMed
Metadaten
Titel
Analysis of the success and failure of endoscopic third ventriculostomy in infants less than 1 year of age
verfasst von
A. J. R. Balthasar
H. Kort
E. M. J. Cornips
E. A. M. Beuls
J. W. Weber
J. S. H. Vles
Publikationsdatum
01.02.2007
Verlag
Springer-Verlag
Erschienen in
Child's Nervous System / Ausgabe 2/2007
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-006-0219-z

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