Publication
Endoscopic third ventriculostomy in the management of hydrocephalus: Outcome analysis of 168 consecutive procedures.
| dc.contributor.author | Salvador, SF | |
| dc.contributor.author | Oliveira, J | |
| dc.contributor.author | Pereira, J | |
| dc.contributor.author | Barros, H | |
| dc.contributor.author | Vaz, R | |
| dc.date.accessioned | 2014-10-26T23:28:38Z | |
| dc.date.available | 2014-10-26T23:28:38Z | |
| dc.date.issued | 2014 | |
| dc.description.abstract | 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. | por |
| dc.identifier.citation | Clin Neurol Neurosurg. 2014;126C:130-136. | por |
| dc.identifier.doi | 10.1016/j.clineuro.2014.08.037 | |
| dc.identifier.uri | http://hdl.handle.net/10400.26/6861 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.subject | Hydrocephalus | por |
| dc.subject | Third Ventricle/surgery | por |
| dc.subject | Ventriculostomy | por |
| dc.subject | Hidrocefalia | por |
| dc.subject | Terceiro Ventrículo/cirurgia | por |
| dc.subject | Ventriculostomia | por |
| dc.title | Endoscopic third ventriculostomy in the management of hydrocephalus: Outcome analysis of 168 consecutive procedures. | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |