ArticleZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences2026
[A novel strategy for the diagnosis and treatment of complex hydrocephalus in children: A staged surgical management protocol].
Article in Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesCurrent strategies for the diagnosis and treatment of complex hydrocephalus in children remain inadequate. Patients often undergo multiple surgeries due to recurrent complications, resulting in poor therapeutic outcomes. This study aims to establish a novel surgical management protocol to reduce the number of surgeries and improve long-term prognosis in patients with complex hydrocephalus.
methodsA retrospective analysis was conducted on the clinical data of pediatric patients with complex hydrocephalus admitted to the Diagnosis and Treatment Center for Hydrocephalus of Xiangya Hospital, Central South University, from June 2018 to June 2025. Complex hydrocephalus was defined as hydrocephalus requiring multiple surgical interventions, post-hemorrhagic hydrocephalus, post-infectious hydrocephalus, multiloculated hydrocephalus, congenital hydrocephalus in preterm low birth weight infants, aqueductal stenosis, Dandy-Walker malformation, and other complex conditions. Patients treated with the staged surgical management protocol were included in the new-strategy group, while those treated with the conventional management protocol were included in the traditional-strategy group. Surgical treatment characteristics, as well as short-term and long-term outcomes, were compared between the two groups. Based on representative cases and a review of the literature, a new diagnostic and therapeutic strategy for pediatric complex hydrocephalus was developed.
resultsA total of 137 pediatric patients with complex hydrocephalus were included, comprising 49 in the new-strategy group and 88 in the traditional-strategy group. There were no statistically significant differences in gender, age, or complexity factors between the two groups (all
conclusionsHydrocephalus in preterm low birth weight infants, hydrocephalus caused by intracranial hemorrhage and/or infection, multiloculated hydrocephalus, hydrocephalus requiring repeated surgeries, and other special forms should be defined as complex hydrocephalus in children. The staged surgical management protocol not only reduces the number of surgeries but also improves long-term prognosis in pediatric patients with complex hydrocephalus.
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