Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

The Efficacy Analysis of Endoscopic Third Ventriculostomy in Infantile Hydrocephalus

  • He, Zhenhua (Department of Neurosurgery, Lanzhou University Second Hospital) ;
  • An, Caixia (Department of Pediatrics, Lanzhou University First Hospital) ;
  • Zhang, Xinding (Department of Neurosurgery, Lanzhou University Second Hospital) ;
  • He, Xiaodong (Center of Endoscopic Surgery, Second Clinical Medical College of Lanzhou University) ;
  • Li, Qiang (Department of Neurosurgery, Lanzhou University Second Hospital)
  • Received : 2014.03.12
  • Accepted : 2014.07.26
  • Published : 2015.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : To investigate the efficacy of endoscopic third ventriculostomy (ETV) for infantile hydrocephalus. Methods : Retrospectively reviewed the 17 infantile hydrocephalus cases who were treated with ETV between July 2009 and June 2013. The study includes 17 patients (4 Han and 13 Hui) between the ages of 51 and 337 days. Five cases with encephalitis history and 2 cases with cerebral hemorrhage, with the remaining 10 cases congenital hydrocephalus. ETVs were performed for all patients with 1 case failing because the severe ventricle inflammatory adhesion, excessive exudation, and vague basilar artery. Results : Among the 16 successful cases 7 cases improved remarkably : heads and ventricles reduced and cerebral cortexes thickening morphologically. The ventricles of the remaining cases were unchanged. Conclusion : The ethnic minority account for the majority of the patients in this study. ETV is effective for infantile obstructive hydrocephalus.

Keywords

References

  1. Gallo P, Szathmari A, De Biasi S, Mottolese C : Endoscopic third ventriculostomy in obstructive infantile hydrocephalus : remarks about the socalled 'unsuccessful cases'. Pediatr Neurosurg 46 : 435-441, 2010 https://doi.org/10.1159/000324913
  2. Koch D, Wagner W : Endoscopic third ventriculostomy in infants of less than 1 year of age : which factors influence the outcome? Childs Nerv Syst 20 : 405-411, 2004 https://doi.org/10.1007/s00381-004-0958-7
  3. Lipina R, Reguli S, Dolezilova V, Kuncikova M, Podesvova H : Endoscopic third ventriculostomy for obstructive hydrocephalus in children younger than 6 months of age : is it a first-choice method? Childs Nerv Syst 24 : 1021-1207, 2008 https://doi.org/10.1007/s00381-008-0616-6
  4. Munch TN, Rostgaard K, Rasmussen ML, Wohlfahrt J, Juhler M, Melbye M : Familial aggregation of congenital hydrocephalus in a nationwide cohort. Brain 135 (Pt 8) : 2409-2415, 2012 https://doi.org/10.1093/brain/aws158
  5. Ogiwara H, Dipatri AJ Jr, Alden TD, Bowman RM, Tomita T : Endoscopic third ventriculostomy for obstructive hydrocephalus in children younger than 6 months of age. Childs Nerv Syst 26 : 343-347, 2010 https://doi.org/10.1007/s00381-009-1019-z
  6. Rangel-Castilla L, Barber S, Zhang YJ : The role of endoscopic third ventriculostomy in the treatment of communicating hydrocephalus. World Neurosurg 77 : 555-560, 2012 https://doi.org/10.1016/j.wneu.2011.06.038
  7. Stein SC, Feldman JG, Apfel S, Kohl SG, Casey G : The epidemiology of congenital hydrocephalus. A study in Brooklyn, N.Y. 1968--1976. Childs Brain 8 : 253-262, 1981
  8. Tully HM, Dobyns WB : Infantile hydrocephalus : a review of epidemiology, classification and causes. Eur J Med Genet 57 : 359-368, 2014 https://doi.org/10.1016/j.ejmg.2014.06.002
  9. Wagner W, Koch D : Mechanisms of failure after endoscopic third ventriculostomy in young infants. J Neurosurg 103 (1 Suppl) : 43-49, 2005
  10. Yadav YR, Parihar V, Pande S, Namdev H, Agarwal M : Endoscopic third ventriculostomy. J Neurosci Rural Pract 3 : 163-173, 2012 https://doi.org/10.4103/0976-3147.98222
  11. Zhang J, Williams MA, Rigamonti D : Genetics of human hydrocephalus. J Neurol 253 : 1255-1266, 2006 https://doi.org/10.1007/s00415-006-0245-5

Cited by

  1. Endoscopic Third Ventriculostomy for Non-Tumor Obstructive Hydrocephalus in Children under Two Years of Age vol.5, pp.3, 2015, https://doi.org/10.4236/ojmn.2015.53017
  2. Non-Tumor Obstructive Hydrocephalus Treated with Endoscopic Third Ventriculostomy in Cameroon vol.5, pp.4, 2015, https://doi.org/10.4236/ojmn.2015.54022
  3. Endoscopic third ventriculostomy and choroid plexus cauterization with a rigid neuroendoscope in infants with hydrocephalus vol.17, pp.2, 2016, https://doi.org/10.3171/2015.5.peds14692
  4. Endoscopic Third Ventriculostomy : Success and Failure vol.60, pp.3, 2017, https://doi.org/10.3340/jkns.2017.0202.013
  5. Third ventricle floor bowing: a useful measurement to predict endoscopic third ventriculostomy success in infantile hydrocephalus vol.162, pp.1, 2020, https://doi.org/10.1007/s00701-019-04133-7
  6. Repeat endoscopic third ventriculostomy success rate according to ventriculostoma closure patterns in children vol.37, pp.3, 2021, https://doi.org/10.1007/s00381-020-04949-0