ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2012
Changes in intracranial CSF distribution after ETV.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Longitudinal changes in ventricular volume after treating aqueduct stenosis through endoscopic third ventriculostomy in adults.Fluids and barriers of the CNS · 2025Article
- Integrated understanding of hydrocephalus - a practical approach for a complex disease.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Review
- Can We Predict Early Endoscopic Third Ventriculostomy Failure? The Role of Ultra-Early Postoperative Magnetic Resonance Imaging in Predicting Early Endoscopic Third Ventriculostomy Failure.World neurosurgery: X · 2019Article
- Radiographic markers of clinical outcomes after endoscopic third ventriculostomy with choroid plexus cauterization: cerebrospinal fluid turbulence and choroid plexus visualization.Journal of neurosurgery. Pediatrics · 2016Article
- Ventricular endoscopy in the pediatric population: review of indications.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2014Review
- Changes in third ventricular size in pediatric patients undergoing endoscopic third ventriculostomy.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2013Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this prospective study was to analyze the changes in cerebrospinal fluid (CSF) distribution after endoscopic third ventriculocisternostomy (ETV).
methodsTwenty-two hydrocephalic children (eight boys, aged 3 months to 17 years) candidates for ETV were studied by preoperative brain magnetic resonance (MR) and repeated post-ETV MRs at established time intervals. A volumetric analysis of CSF distribution after ETV was performed using a specific software.
resultsFifteen children had an uneventful follow-up, whereas four required a second ETV due to a secondary closure of the stoma, one died of acute intracranial hypertension, and two needed an extrathecal shunt. A progressive reduction in the volume of the ventricles was found in case of successful ETV during the follow-up period. The ventricular volumes were reduced in average of 76 % of the initial volume at day 3, 69 % at 2 weeks, 42 % at 2 months, and 40 % at 6 months. This finding was associated with an enlargement of subarachnoid spaces which increased in case of successful ETV (192 % of initial volume at day 3; 210 % at day 15; 428 % at 2 months; and 468 % at 6 months). In case of secondary closure of the stoma, the distribution of intra- and extraventricular CSF tended to go back to the preoperative status.
conclusionVolume variations of the ventricles and the subarachnoid spaces are a good indicator of the efficacy of the ETV.
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