Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus and Ventriculocystostomy for Intraventricular Arachnoid Cysts
| العنوان: | Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus and Ventriculocystostomy for Intraventricular Arachnoid Cysts |
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| المؤلفون: | Omer Batu Hergunsel, Sait Ozturk, Fatih Demir, Fatih Serhat Erol, Bekir Akgun |
| المصدر: | Acta Medica, Vol 64, Iss 1, Pp 29-35 (2021) |
| بيانات النشر: | Karolinum Press, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Adolescent, Endoscope, Obstructive hydrocephalus, Ventriculostomy, Third ventriculostomy, 03 medical and health sciences, 0302 clinical medicine, Arachnoid cyst, medicine, Humans, Child, Retrospective Studies, business.industry, Endoscopic third ventriculostomy, endoscope, Infant, Endoscopy, General Medicine, Middle Aged, medicine.disease, Surgery, Arachnoid Cysts, ventriculocystostomy, Child, Preschool, 030220 oncology & carcinogenesis, Etiology, third ventriculostomy, Medicine, Female, business, 030217 neurology & neurosurgery, Hydrocephalus |
| الوصف: | Objective: To evaluate and discuss the outcomes of a combination of ventriculocystostomy (VC) and endoscopic third ventriculostomy (ETV) for obstructive hydrocephalus (HCP) due to ventricular/cisternal arachnoid cysts, and only ETV for obstructive HCP due to different etiologies. Methods: We retrospectively reviewed all 40 symptomatic patients (aged 4 months – 61 years) of obstructive HCP treated by ETV or VC+ETV during October 2014 – April 2019. VC+ETV was performed in 7 patients with intraventricular/cisternal arachnoid cyst and obstructive HCP. Only ETV was performed in 33 patients with obstructive HCP due to other etiologies. Results: Successful ETV or VC+ETV surgery was performed in 35 patients. The procedure failed in 5 patients aged < 1 year; all these 5 patients had a head circumference (HC) of > 90 percentile at the time of surgery. Another 5 patients aged < 1 year showed successful ETV, with a HC of 75–90 percentiles. Conclusion: ETV is a successful alternative treatment for obstructive HCP. The ventricular size may not demonstrate a remarkable reduction post-ETV than post-shunting. Accordingly, increased intracranial pressure may not effectively decrease during the early period post-ETV than post-shunting. Therefore, the success rates of VC and/or ETV are low in very young patients with very high HCs (> 90 percentile). |
| اللغة: | English |
| تدمد: | 1805-9694 1211-4286 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::14eb301c27d23974641d90851a86ca38Test https://actamedica.lfhk.cuni.cz/64/1/0029Test/ |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....14eb301c27d23974641d90851a86ca38 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18059694 12114286 |
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