Analysis of the success and failure of endoscopic third ventriculostomy in infants less than 1 year of age.
Childs Nerv Syst
; 23(2): 151-5, 2007 Feb.
Article
em En
| MEDLINE
| ID: mdl-16964518
ABSTRACT
OBJECTIVES:
In infants less than 1 year of age, the value of endoscopic third ventriculostomy (ETV) is controversial. It is believed to cause more morbidity and to have higher failure rates. We analyzed our data enlarging the reported pool of ETV outcome in infants less than 1 year of age. MATERIALS ANDMETHODS:
We performed 12 ETVs in ten patients younger than 1 year of age. All patients had predominant supratentorial hydrocephalus. We defined ETV success as a shunt-free follow-up of at least 12 months, however, allowing re-ETV.CONCLUSION:
ETV should be considered as initial treatment and carries low morbidity in these infants. As the immune system rapidly matures, postponing shunt implantation for several months or even weeks would make an ETV procedure worthwhile. On the other hand, as success probability rapidly increases 4 months after birth, re-ETV should always be considered first.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ventriculostomia
/
Endoscópios
/
Terceiro Ventrículo
/
Hidrocefalia
Limite:
Female
/
Humans
/
Infant
/
Male
/
Newborn
Idioma:
En
Revista:
Childs Nerv Syst
Ano de publicação:
2007
Tipo de documento:
Article