دورية أكاديمية
Endoscopic third ventriculostomy in the management of hydrocephalus: Outcome analysis of 168 consecutive procedures.
| العنوان: | Endoscopic third ventriculostomy in the management of hydrocephalus: Outcome analysis of 168 consecutive procedures. |
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| المؤلفون: | Salvador, SF, Oliveira, J, Pereira, J, Barros, H, Vaz, R |
| سنة النشر: | 2014 |
| المجموعة: | Repositório Comum (RCAAP - Repositório Científico de Acesso Aberto de Portugal) |
| مصطلحات موضوعية: | Hydrocephalus, Third Ventricle/surgery, Ventriculostomy, Hidrocefalia, Terceiro Ventrículo/cirurgia, Ventriculostomia |
| الوصف: | BACKGROUND: Endoscopic third ventriculostomy (ETV) is the treatment of choice for obstructive hydrocephalus, but the outcome is still controversial in terms of age and aetiology. METHODS: Between 1998 and 2011, 168 consecutive procedures were performed in 164 patients, primarily children (56%<18 years of age and 35%<2 years of age). The causes of obstructive hydrocephalus included tumoural pathology, Chiari malformation, congenital obstruction of the aqueduct, post-infectious and post-haemorrhagic membranes, and ventriculo-peritoneal shunt (VPS) malfunctions. Successful ETV was defined by the resolution of symptoms and the avoidance of a shunt. RESULTS: ETV was successful in 75.6% of patients, but 19% of the patients required VPS in the first month after ETV, and 5.4% required a VPS more than one month after ETV. Four patients were ultimately submitted for second ETVs. In this series, no major permanent morbidity or mortality was observed. CONCLUSIONS: ETV is a safe procedure and an effective treatment for obstructive hydrocephalus even following the dysfunction of previous VPSs and in children younger than two years. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | Clin Neurol Neurosurg. 2014;126C:130-136.; http://hdl.handle.net/10400.26/6861Test |
| DOI: | 10.1016/j.clineuro.2014.08.037 |
| الإتاحة: | https://doi.org/10.1016/j.clineuro.2014.08.037Test http://hdl.handle.net/10400.26/6861Test |
| حقوق: | openAccess |
| رقم الانضمام: | edsbas.61CD6AB7 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.clineuro.2014.08.037 |
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