ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2011
Endoscopic third ventriculostomy for hydrocephalus in children younger than 1 year of age.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 55 citations in OpenAlex.
- Technical Note and Short Review: A Challenging Case of a Premature Newborn Presenting With ICH, IVH, Ventriculitis, and Hydrocephalus.Clinical case reports · 2025Article
- Pharmacological Strategies and Surgical Management of Posthemorrhagic Hydrocephalus Following Germinal Matrix-Intraventricular Hemorrhage in Preterm Infants.Current neuropharmacology · 2025Review
- Posthemorrhagic hydrocephalus management in patients with necrotizing enterocolitis: a monocentric experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Review
- Permanent Surgical Treatment for Posthemorrhagic Hydrocephalus in Preterm Infants.Journal of Korean Neurosurgical Society · 2023Article
- Article
- Endoscopic third ventriculostomy: a feasible treatment option for pediatric hydrocephalus in a high-risk cohort - a single-center report.World journal of pediatric surgery · 2022Article
- External validation of the ETV success score in 313 pediatric patients: a Brazilian single-center study.Neurosurgical review · 2021Article
- 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
- Ventricular endoscopy in the pediatric population: review of indications.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2014Review
- Endoscopic third ventriculocisternostomy in hydrocephalic children under 2 years of age: appropriate or not? A single-center retrospective cohort study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2013Article
- Screen-imaging guidance using a modified portable video macroscope for middle cerebral artery occlusion.Neural regeneration research · 2012Article
- Neonatal posthemorrhagic hydrocephalus from prematurity: pathophysiology and current treatment concepts.Journal of neurosurgery. Pediatrics · 2012Review
- Hydrocephalus in Dandy-Walker malformation.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2011Review
- Fetal ventriculomegaly: postnatal management.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2011Review
- Endoscopic Third Ventriculostomy for Hydrocephalus in Infants: A Single-center Experience.Asian journal of neurosurgeryArticle
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe purpose of this study is to assess the role of endoscopic third ventriculostomy (ETV) in the treatment of hydrocephalus in children under 1 year of age. The authors analyzed data of ETV in their institution.
methodsBetween January 1995 and December 2008, 52 ETV procedures were performed for the treatment of hydrocephalus in 49 infants (32 male and 17 female). Their age ranged from 6 days to just under 12 months (mean age 6.2 months). The cause of hydrocephalus was occlusive in 43 patients (aqueduct stenosis in 31, Chiari II malformation in eight, Dandy-Walker cyst in two, quadrigeminal lipoma in one, and cerebellopontine angle arachnoid cyst in one patient). Communicating hydrocephalus was caused by intraventricular hemorrhage, meningitis, and/or ventriculitis in six patients.
resultsThe overall success rate was 69.4% with mean follow-up period of 68.2 months. Patients with aqueduct stenosis had a higher success rate of ETV which was 77.4%. Seven infants were born preterm, six of them required a permanent ventriculoperitoneal shunts (VPS; P = 0.003). Malfunctioned VPS was removed in two patients following ETV. There was one death from intracranial hemorrhage, two cerebrospinal fluid leaks, and one meningitis.
conclusionEndoscopic third ventriculostomy can be considered a possible treatment procedure alternative to VPS for the treatment of occlusive hydrocephalus in infants. ETV was effective in full-term infants while the results in low birth weight, preterm infants were poor. Success of ETV is not only age dependent but also etiology dependent. Infants with occlusive hydrocephalus treated with VPS, who present with shunt failure, could be treated by ETV and removal of the shunt device.
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