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

• Tipo: Artigo em Revista Científica Internacional
• Data: 2014

Autores

Salvador, SF (Autor) Outra; Oliveira, J (Autor) Outra; Pereira, J (Autor) Outra; Barros H (Autor) FMUP; Vaz, R (Autor) Outra

Revista

Título: Clinical Neurology and Neurosurgery

Vol. 126

Páginas: 130-136

ISSN: 0303-8467

Editora: Elsevier

Indexação

ISI Web of Knowledge - 16 Citações

Scopus - 14 Citações

Outras Informações

ID Authenticus: 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.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 7