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Endoscopic Third Ventriculostomy in Noncommunicating Hydrocephalus: Report on a Short Series of 53 Children

INTRODUCTION: Endoscopoic third ventriculostomy (ETV) is currently considered the best alternative to cerebrospinal fluid (CSF) shunt systems in the treatment of obstructive hydrocephalus. The aim of ETV is to communicate the third ventricle with the interpendicular cistern and create CSF flow which...

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Autores principales: Sarmast, Arif, Khursheed, Nayil, Ramzan, Altaf, Shaheen, Feroz, Wani, Abrar, Singh, Sarbjit, Ali, Zulfikar, Dar, Bashir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417306/
https://www.ncbi.nlm.nih.gov/pubmed/30937005
http://dx.doi.org/10.4103/ajns.AJNS_187_16
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author Sarmast, Arif
Khursheed, Nayil
Ramzan, Altaf
Shaheen, Feroz
Wani, Abrar
Singh, Sarbjit
Ali, Zulfikar
Dar, Bashir
author_facet Sarmast, Arif
Khursheed, Nayil
Ramzan, Altaf
Shaheen, Feroz
Wani, Abrar
Singh, Sarbjit
Ali, Zulfikar
Dar, Bashir
author_sort Sarmast, Arif
collection PubMed
description INTRODUCTION: Endoscopoic third ventriculostomy (ETV) is currently considered the best alternative to cerebrospinal fluid (CSF) shunt systems in the treatment of obstructive hydrocephalus. The aim of ETV is to communicate the third ventricle with the interpendicular cistern and create CSF flow which bypasses an obstruction to the circulation of the CSF. AIMS AND OBJECTIVES: The purpose of this study was to elucidate the indications, efficacy, safety and outcome Of ETV pediatric patients of noncommunicating hydrocephalus. MATERIAL AND METHODS: This study is a 3 year prospective study from June 2012 to May 2015. Records were kept for age, gender, etilogical factors, symptoms, signs, previous use of shunt or external ventricular device, imaging findings, and surgical complications (intraoperative and postoperative). Only those patients with age between 6months and 18 years with symptoms of intracranial hypertension and radiographic evidence of noncommunicating hydrocephalus were included in the study. RESULTS: A total of 53 patients were studied, out of these 29 were boys and 24 were girls. The mean age of the patients was 6.6 years. Overall a total of 50 successful ETVs were done in 53 patients. The success rate is estimated to be 94%. There was no mortality. The average postoperative hospital stay was 4 days. The followup ranged from 6 to 16 months (mean, 12 months). CONCLUSION: ETV in children is a safe, simple and effective treatment and a logical alternative to shunting procedure for patients of noncommunicating hydrocephalus.
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spelling pubmed-64173062019-04-01 Endoscopic Third Ventriculostomy in Noncommunicating Hydrocephalus: Report on a Short Series of 53 Children Sarmast, Arif Khursheed, Nayil Ramzan, Altaf Shaheen, Feroz Wani, Abrar Singh, Sarbjit Ali, Zulfikar Dar, Bashir Asian J Neurosurg Original Article INTRODUCTION: Endoscopoic third ventriculostomy (ETV) is currently considered the best alternative to cerebrospinal fluid (CSF) shunt systems in the treatment of obstructive hydrocephalus. The aim of ETV is to communicate the third ventricle with the interpendicular cistern and create CSF flow which bypasses an obstruction to the circulation of the CSF. AIMS AND OBJECTIVES: The purpose of this study was to elucidate the indications, efficacy, safety and outcome Of ETV pediatric patients of noncommunicating hydrocephalus. MATERIAL AND METHODS: This study is a 3 year prospective study from June 2012 to May 2015. Records were kept for age, gender, etilogical factors, symptoms, signs, previous use of shunt or external ventricular device, imaging findings, and surgical complications (intraoperative and postoperative). Only those patients with age between 6months and 18 years with symptoms of intracranial hypertension and radiographic evidence of noncommunicating hydrocephalus were included in the study. RESULTS: A total of 53 patients were studied, out of these 29 were boys and 24 were girls. The mean age of the patients was 6.6 years. Overall a total of 50 successful ETVs were done in 53 patients. The success rate is estimated to be 94%. There was no mortality. The average postoperative hospital stay was 4 days. The followup ranged from 6 to 16 months (mean, 12 months). CONCLUSION: ETV in children is a safe, simple and effective treatment and a logical alternative to shunting procedure for patients of noncommunicating hydrocephalus. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6417306/ /pubmed/30937005 http://dx.doi.org/10.4103/ajns.AJNS_187_16 Text en Copyright: © 2018 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sarmast, Arif
Khursheed, Nayil
Ramzan, Altaf
Shaheen, Feroz
Wani, Abrar
Singh, Sarbjit
Ali, Zulfikar
Dar, Bashir
Endoscopic Third Ventriculostomy in Noncommunicating Hydrocephalus: Report on a Short Series of 53 Children
title Endoscopic Third Ventriculostomy in Noncommunicating Hydrocephalus: Report on a Short Series of 53 Children
title_full Endoscopic Third Ventriculostomy in Noncommunicating Hydrocephalus: Report on a Short Series of 53 Children
title_fullStr Endoscopic Third Ventriculostomy in Noncommunicating Hydrocephalus: Report on a Short Series of 53 Children
title_full_unstemmed Endoscopic Third Ventriculostomy in Noncommunicating Hydrocephalus: Report on a Short Series of 53 Children
title_short Endoscopic Third Ventriculostomy in Noncommunicating Hydrocephalus: Report on a Short Series of 53 Children
title_sort endoscopic third ventriculostomy in noncommunicating hydrocephalus: report on a short series of 53 children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417306/
https://www.ncbi.nlm.nih.gov/pubmed/30937005
http://dx.doi.org/10.4103/ajns.AJNS_187_16
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