Endoscopic third ventriculostomy in the management of hydrocephalus: Outcome analysis of 168 consecutive procedures

• Type: Article in International Scientific Journal
• Date: 2014

Authors

Salvador, SF (Author) Other; Oliveira, J (Author) Other; Pereira, J (Author) Other; Barros H (Author) FMUP; Vaz, R (Author) Other

Journal

Title: Clinical Neurology and Neurosurgery

Vol. 126

Pages: 130-136

ISSN: 0303-8467

Publisher: Elsevier

Indexing

ISI Web of Knowledge - 16 Citations

Scopus - 14 Citations

Other information

Authenticus ID: P-009-VQT

DOI: 10.1016/j.clineuro.2014.08.037

Abstract (EN): Background: Endoscopic third ventriculostomy (ETV) is the treatment of choice for obstructive hydrocephalus, but the outcome is still controversial in terms of age and aetiology. Methods: Between 1998 and 2011, 168 consecutive procedures were performed in 164 patients, primarily children (56% < 18 years of age and 35% <2 years of age). The causes of obstructive hydrocephalus included tumoural pathology, Chiari malformation, congenital obstruction of the aqueduct, post-infectious and post-haemorrhagic membranes, and ventriculo-peritoneal shunt (VPS) malfunctions. Successful ETV was defined by the resolution of symptoms and the avoidance of a shunt. Results: ETV was successful in 75.6% of patients, but 19% of the patients required VPS in the first month after ETV, and 5.4% required a VPS more than one month after ETV. Four patients were ultimately submitted for second ETVs. In this series, no major permanent morbidity or mortality was observed. Conclusions: ETV is a safe procedure and an effective treatment for obstructive hydrocephalus even following the dysfunction of previous VPSs and in children younger than two years.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 7