ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2008
Endoscopic third ventriculostomy for obstructive hydrocephalus in children younger than 6 months of age: is it a first-choice method?
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Efficacy and safety of flexible versus rigid endoscopic third ventriculostomy in pediatric and adult populations: a systematic review and meta-analysis.Neurosurgical review · 2022Pooled it
- Comparison of postoperative outcomes following endoscopic third ventriculostomy or shunt in a propensity score matched pediatric cohort.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Endoscopic third ventriculostomy inpatient failure rates compared with shunting in post-hemorrhagic hydrocephalus of prematurity.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Article
- Successful endoscopic third ventriculostomy in children depends on age and etiology of hydrocephalus: outcome analysis in 51 pediatric patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018Article
- The efficacy analysis of endoscopic third ventriculostomy in infantile hydrocephalus.Journal of Korean Neurosurgical Society · 2015Article
- Application of phase-contrast cine magnetic resonance imaging in endoscopic aqueductoplasty.Experimental and therapeutic medicine · 2013Article
- Fungal Granuloma following Endoscopic Third Ventriculostomy for Infantile Hydrocephalus.Sultan Qaboos University medical journal · 2013Article
- Third ventriculostomy in infants younger than 1 year old.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2012Article
- Endoscopic third ventriculostomy.Journal of neurosciences in rural practice · 2012Article
- Success criteria in pediatric neuroendoscopic procedures. Proposal for classification of results after 67 operations.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2012Article
- Endoscopic third ventriculostomy in patients with shunt malfunction.Journal of Korean Neurosurgical Society · 2011Article
- Endoscopic third ventriculostomy in previously shunted children: a retrospective study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2010Article
- Endoscopic third ventriculostomy for obstructive hydrocephalus in children younger than 6 months of age.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2010Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEndoscopic third ventriculostomy (ETV) is considered a safe procedure and is a method of choice in treatment of obstructive hydrocephalus nowadays. In case of Sylvian aqueduct stenosis, the success rate reaches 90%. In children younger than 6 to 24 months, respectively, however, some authors report lower effectiveness ranging between 0% and 64%. The reasons of ETV failure are discussed: hyporesorption in patients with obstruction as a consequence of hemorrhage or infection, suboptimal ETV performance, especially in premature newborns, or the theory of different cerebrospinal fluid circulation in newborn babies. MATERIALS AND
methodsBetween January 2005 and December 2006 in our clinic, 14 patients younger than 6 months having presented with obstructive hydrocephalus were treated endoscopically. Obstruction was revealed by preoperative magnetic resonance imaging. The etiology of hydrocephalus was congenital aqueduct stenosis in five patients, posthemorrhagic obstruction in eight patients, and combination of posthemorrhagic and postinfection etiology in one patient. ETV was considered successful when no shunt operation was needed in the patient.
resultsETV was successful in eight patients who experienced regression of signs of intracranial hypertension and were not forced to undergo ventriculo-peritoneal (V-P) shunting. In one patient, a successful repeat ETV was performed. In the remaining six patients, V-P shunt implantation was necessary. Total success rate in our group of patients was 57%. The only complication was subdural hygroma in one patient requiring evacuation.
conclusionBased on our experience, we recommend ETV as the method of choice in children younger than 6 month of age.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.