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ISSN 2225-4676 (Electronic)

2011, Number 1

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Rev Cubana Neurol Neurocir 2011; 1 (1)

Endoscopic third ventriculostomy in hydrocephalic children less than 1 year of age

Fernández LA, Leyva MT, de Jongh CE, Díaz Álvarez NM

Language: Spanish
References: 33
Page: 21-26
PDF size: 181.69 Kb.


ABSTRACT

Objective: To determine: 1) Neuroendoscopical treatment outcome in hydrocephalic children less than 1 year of age at ¨Juan Manuel Marquez¨ Pediatric Hospital, 2) Factors of failure after this technique in this age group?, 3) Which patients less than 1 year of age are candidates for this procedure?.
Methods: We have developed these techniques in 12 pediatric patients between 6 days and 1 year old. We performed this neuroendoscopical procedure at Juan Manuel Marquez Pediatric Hospital in Havana, Cuba, during the last 6 years. The basic surgical technique was a frontal burr hole, with access to the ventricular system that allows the procedure in relation with the diagnosis.
Results: ETV was successful in therapy of hydrocephalus in five infants (42%) and fails in the others 7 children who were treated with a Ventriculo–peritoneal shunt. The neuroendoscopic techniques do not produce any serious complications.
Conclusion: The range of success increased with the children´s age. Our results indicate that endoscopic third ventriculostomy will be our first option in the hydrocephalic patient over 3 month of age but there is a need in the near future, for more multicentre studies in this age group.


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