Endoscopic third ventriculostomy in obstructive infantile hydrocephalus: remarks about the so-called 'unsuccessful cases'.

Abstract:

BACKGROUND:The failure rate following endoscopic third ventriculostomy (ETV) in infants younger than 2 years of age has been reported to be higher compared with that of older children, and it is unclear whether ETV might be superior to shunt placement in this age group. METHODS:Between 2003 and 2009, 23 patients younger than 6 months and without a previous history of shunting underwent ETV in our institution. A review of the literature was performed on the basis of publications presenting detailed data on age and etiology in every single patient. RESULTS:In our own patients, total success rate was 39.1%. In the successful cases, median age was 140 days, whereas in the unsuccessful cases it was 47 days. The difference between the two groups was statistically significant (p = 0.01). The median ages of both successful and unsuccessful groups corresponded to data gained from an analysis of the literature (p = 0.04). At a median follow-up of 47 months, 2 out of 14 patients shunted after a failed ETV were revised for ventriculoperitoneal shunt malfunction. CONCLUSION:The impact of age on ETV failure in infants is clear and becomes crucial during the first 2 months of life, even when excluding etiological factors. Nevertheless, age cannot be considered the only parameter of the decision-making process, especially in these very young patients. Probably, the definition of 'unsuccessful ETV' should be reevaluated in light of decreased risk of shunt malfunction observed after a failed ETV.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Gallo P,Szathmari A,De Biasi S,Mottolese C

doi

10.1159/000324913

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

435-41

issue

6

eissn

1016-2291

issn

1423-0305

pii

000324913

journal_volume

46

pub_type

杂志文章,评审
  • Central pontine myelinolysis in a pediatric head injury patient.

    abstract::Central pontine myelinolysis occurs inconsistently as a complication of severe and prolonged hyponatremia, particularly when corrected too rapidly. It is a concentrated, frequently symmetric, noninflammatory demyelination within the central basis pontis. We describe a head injury patient who suffered this clinical ent...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000315003

    authors: Singh DK,Rastogi M,Husain M

    更新日期:2010-01-01 00:00:00

  • Management of holocord pilocytic astrocytomas in children and adolescents: an update.

    abstract::Holocord intramedullary low-grade astrocytomas in children and adolescents - involving most or all of the cervical and thoracic spinal cord - are a rare finding. Most of the tumors seem to be pilocytic astrocytomas. Surgical management strategies might not be as clear as in small and circumscribed intramedullary tumor...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000345593

    authors: Ebner FH,Schittenhelm J,Roser F,Scheel-Walter H,Tatagiba M,Schuhmann MU

    更新日期:2012-01-01 00:00:00

  • Dynamic Changes in Arteriovenous Malformations (AVMs): Spontaneous Growth and Resolution of AVM-Associated Aneurysms in Two Pediatric Patients.

    abstract::Arteriovenous malformations (AVMs) of the central nervous system are dynamic lesions that can change with time. One of the most clinically important concerns is the development and potential rupture of AVM-associated aneurysms. In this report, we review pediatric cases of de novo development of AVM-associated aneurysm...

    journal_title:Pediatric neurosurgery

    pub_type:

    doi:10.1159/000501041

    authors: Koch MJ,Mahal BAV,Hadzipasic M,Fehnel KP,Chapman PH,Loeffler JS,Orbach DB,Smith ER

    更新日期:2019-01-01 00:00:00

  • Atlantoaxial Rotatory Subluxation after Removal of a Ventriculoperitoneal Shunt in the Supine-Lateral Position.

    abstract::Atlantoaxial rotatory subluxation (AARS) is an uncommon disease with a greater prevalence in children than adults. So far there has only been one report of AARS after surgery related to ventriculoperitoneal (VP) shunting. We present a new case of AARS closed reduction treatment after VP shunt removal in an 8-year-old ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000433601

    authors: Hashide S,Aihara Y,Nagahara A,Mitsuyama T,Okada Y

    更新日期:2015-01-01 00:00:00

  • Patient/family preparation and education for complications and late sequelae of craniopharyngiomas.

    abstract::Craniopharyngiomas are the most common pediatric suprasellar tumor. While they are benign by histology, their location in the brain predisposes craniopharyngiomas to be associated with both acute and chronic neurologic, endocrine, visual, neuropsychologic and psychosocial problems. Because of the complexity of problem...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000120872

    authors: Shiminski-Maher T

    更新日期:1994-01-01 00:00:00

  • Direct repair of the pars interarticularis for spondylolysis and spondylolisthesis.

    abstract::Spondylolysis and spondylolisthesis can be associated with significant low back pain, especially in physically active adolescents. Non-operative management is usually successful in improving symptoms, but surgical intervention is occasionally required for those that fail reduction of activity and bracing. In a subpopu...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000072471

    authors: Lundin DA,Wiseman D,Ellenbogen RG,Shaffrey CI

    更新日期:2003-10-01 00:00:00

  • Pediatric extradural spinal tumors.

    abstract::We have reviewed 16 children with extradural spinal tumors, both benign and malignant, treated from 1998 to 2006 in Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. The duration of symptomatology, clinical signs, radiological investigations, surgical approach, outcome and histopathological var...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120147

    authors: Kumar R,Giri PJ

    更新日期:2008-01-01 00:00:00

  • Extradural hematomas in children.

    abstract::The authors studied 58 patients, under 12 years of age, admitted to the Emergency Room of the Sao Paulo University Hospital between September 1987 and November 1991 with the diagnosis of traumatic extradural hematoma. Emphasis was given to the etiology of injury, the time interval from head injury to emergency room ev...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120814

    authors: dos Santos AL,Plese JP,Ciquini Júnior O,Shu EB,Manreza LA,Marino Júnior R

    更新日期:1994-01-01 00:00:00

  • MRI features of intracranial and spinal ependymomas.

    abstract::Intracranial and intraspinal ependymomas are uncommon tumors of the central nervous system. These tumors have a variety of imaging characteristics, some of which are fairly specific for ependymoma. We discuss the MRI features of ependymomas for each of the typical locations within the neuraxis, and provide MR imaging ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000028630

    authors: Lefton DR,Pinto RS,Martin SW

    更新日期:1998-02-01 00:00:00

  • Risk Factors for Wound Infections after Deformity Correction Surgery in Neuromuscular Scoliosis.

    abstract:OBJECTIVE:This study aims to elucidate surgical risk factors in neuromuscular scoliosis (NMS) with respect to wound site infection after spinal fusion. METHODS:A retrospective review was performed of all patients treated surgically for NMS between January 2008 and December 2016 (minimum 6 months' follow-up). A sub-coh...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000496693

    authors: Janjua MB,Toll B,Ghandi S,Sebert ME,Swift DM,Pahys JM,Samdani AF,Hwang SW

    更新日期:2019-01-01 00:00:00

  • Dual occurrence of pineal germinoma and testicular seminoma. Case report and review of the literature.

    abstract::A 16-year-old male presented with obstructive hydrocephalus secondary to pineal germinoma. There have been many reported cases of abdominal metastasis of pineal germinoma after ventriculoperitoneal shunting. Endoscopic ventriculostomy was preferred in our case, thus avoiding iatrogenic peritoneal seeding, but spinal m...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000089508

    authors: Ho CL,Deruytter MJ

    更新日期:2006-01-01 00:00:00

  • Unusual Resolution of a depressed skull fracture following repeat head trauma: the two-hit hypothesis?

    abstract::An infant sustained a significant depressed skull fracture from a fall. Before the planned surgical repair of the fracture could be carried out, the child sustained a second fall that led to the complete resolution of the depressed fracture. Mechanisms to explain this unusual phenomenon are discussed. ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000334279

    authors: Cohen AR,Bahuleyan B,Robinson S

    更新日期:2011-01-01 00:00:00

  • Are dermoid and epidermoid tumors preventable complications of myelomeningocele repair?

    abstract::Dermoids and epidermoids found at reoperation for tethered cord following myelomeningocele repair have been attributed to inadequate excision of cutaneous elements and 'implantation' in the repair site. This study reviews the pathological findings in excised placodes from fresh myelomeningoceles and specimens from tet...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000120780

    authors: Storrs BB

    更新日期:1994-01-01 00:00:00

  • Cervical Spine Osteoblastoma with an Aneurysmal Bone Cyst in a 2-Year-Old Child: A Case Report.

    abstract::Osteoblastomas and aneurysmal bone cysts are uncommon benign tumors of the spine. Their presentation can vary between diffuse pain, restriction of neck movements, torticollis, radiculopathy, and myelopathy. Complete excision is the best treatment to achieve a cure, but recurrence is not uncommon. A combination of the ...

    journal_title:Pediatric neurosurgery

    pub_type:

    doi:10.1159/000495065

    authors: Mishra A,Pruthi N,Nandeesh BN,Shukla D

    更新日期:2019-01-01 00:00:00

  • A closer look at the ventriculo-gallbladder shunt for the treatment of hydrocephalus.

    abstract::Six patients with hydrocephalus who were treated with cerebrospinal fluid (CSF) shunts became refractory to serosal absorption of CSF. All were subsequently treated with ventriculo-gallbladder shunts. The surgical technique and long-term results were evaluated by retrospective review of the hospital records. Detailed ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000121191

    authors: Novelli PM,Reigel DH

    更新日期:1997-04-01 00:00:00

  • Impaired motor learning in children with hydrocephalus.

    abstract::Hydrocephalic (n = 19) and normal (n = 20) children in two age groups (averaged at 10 and 14 years old) were asked to learn 5 predetermined timing rhythm interval tasks (including timing duration and relative timing pattern) by pressing keys on a computer keyboard. In the acquisition phase, visual and auditory goal ti...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000056017

    authors: Ding Y,Lai Q,McAllister II JP,Canady AI

    更新日期:2001-04-01 00:00:00

  • Spinal rhabdomyosarcoma in a child with lipomyelomeningocele.

    abstract::Malignant tumors arising within dysrhaphic malformations are very rare and are mostly teratomas; so far, only one rhabdomyosarcoma has been reported in this context. We report another case of a girl with lipomyelomeningocele who developed a lumbar rhabdomyosarcoma 2 years after birth and primary closure of the neural ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000083742

    authors: Wagner W,Koch D

    更新日期:2004-11-01 00:00:00

  • Pediatric Langerhans Cell Histiocytosis with BRAF Mutation Affecting Sacral Vertebra: A Case Report and Disease Review.

    abstract:BACKGROUND:Histiocytoses are rare diseases affecting mainly children and can occur in any organ of the body. They are divided into Langerhans type and non-Langerhans type. Langerhans cell histiocytosis (LCH) mainly affects skin, bones, and lymph nodes but can also affect the hematopoietic system. Bone lesions can be cr...

    journal_title:Pediatric neurosurgery

    pub_type:

    doi:10.1159/000508940

    authors: Champaneri H,Banerjee AD

    更新日期:2020-01-01 00:00:00

  • Hepatic pseudocyst as a result of ventriculoperitoneal shunts: case report and review of the literature.

    abstract::Hepatic pseudocyst formation is a rare intra-abdominal complication of ventriculoperitoneal shunts. The presence of an intracranial tumor and a history of central nervous system infection are major risk factors for the development of this complication. Hepatic pseudocysts secondary to ventriculoperitoneal shunts can b...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000108795

    authors: Kaplan M,Ozel SK,Akgun B,Kazez A,Kaplan S

    更新日期:2007-01-01 00:00:00

  • Recurrence patterns and anaplastic change in a long-term study of pilocytic astrocytomas.

    abstract::Thirty-six cases of pilocytic astrocytomas treated at the Childrens Hospital of Los Angeles from 1984 through 1995 were reviewed. The mean age at initial presentation was 8 years (range 15 months to 14 years). These patients were followed for an average of 5.5 years. No patient was given chemotherapy or radiation ther...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000121218

    authors: Krieger MD,Gonzalez-Gomez I,Levy ML,McComb JG

    更新日期:1997-07-01 00:00:00

  • Hemihypertrophy and the Chiari I malformation.

    abstract::We report two children with hemihypertrophy and Chiari I malformation (CIM) and review the extant medical literature regarding CIM and overgrowth disorders. We propose that these two entities do not represent a spurious association but rather share a common dysembryology of mesoderm. ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000069820

    authors: Tubbs RS,Smyth MD,Wellons JC 3rd,Oakes WJ

    更新日期:2003-05-01 00:00:00

  • Hemispherotomy or lobectomy? The role of presurgical neuroimaging in a young case of a large porencephalic cyst with intractable epilepsy.

    abstract::A young patient with a large left hemisphere porencephalic cyst underwent neuroimaging investigation (functional magnetic resonance imaging (fMRI), EEG-fMRI, DTI tractography) during presurgical evaluation for intractable epilepsy. The functional workup showed that (a) the healthy hemisphere had undertaken language pr...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000330546

    authors: Kokkinos V,Garganis K,Kontogiannis K,Zountsas B

    更新日期:2011-01-01 00:00:00

  • Radiation-Associated Glioblastoma after Prophylactic Cranial Irradiation in a Patient of ALL: Review of Literature and Report of a Rare Case.

    abstract:INTRODUCTION:The cumulative incidence of radiation-induced second malignancy is 1-2% per decade after radiotherapy (RT). Radiation-induced malignant glioma (RIMG) is a rare complication of cranial RT. CASE PRESENTATION:We herein describe a case of left frontal glioblastoma arising 5 years after prophylactic cranial ir...

    journal_title:Pediatric neurosurgery

    pub_type:

    doi:10.1159/000511996

    authors: Biswas A,Kashyap L,Bakhshi S

    更新日期:2020-01-01 00:00:00

  • Surgical management of craniopharyngioma.

    abstract::Craniopharyngiomas can be divided into sellar, prechiasmatic, retrochiasmatic and giant tumors. The initial approach to a craniopharyngioma should be an attempt at its removal. Only if surgical therapy fails to deal with the tumor should more conservative approaches utilizing radiotherapy be used. The use of intracyst...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000120861

    authors: Hoffman HJ

    更新日期:1994-01-01 00:00:00

  • Prenatal sonographic diagnosis of lateral ventricle choroid plexus papilloma in an in vitro fertilization-induced pregnancy.

    abstract::This is a report of a prenatal sonographic diagnosis of a lateral ventricle choroid plexus papilloma in an in vitro fertilization (IVF)-induced pregnancy of a 40-year-old woman. The baby was delivered at 35 weeks of gestation and surgery was performed 5 days later with a good outcome. Several cases of malignancies ass...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000066210

    authors: Cohen ZR,Achiron R,Feldman Z

    更新日期:2002-11-01 00:00:00

  • Blister-like supraclinoid internal carotid artery pseudoaneurysm in a 15-year-old male: case report and review of the literature.

    abstract::With an incidence of less than 1-3 per million, pediatric aneurysms are rare clinical entities. A traumatic etiology is implicated in a large proportion of these cases, leading to the formation of both 'false' and 'true' aneurysms. These occur most often in the distal circulation, but have also been described in the s...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1159/000339355

    authors: Haji FA,Boulton MR,de Ribaupierre S

    更新日期:2011-01-01 00:00:00

  • Endoscopic fenestration of middle fossa arachnoid cysts: a technical description and case series.

    abstract:BACKGROUND:Arachnoid cysts are intra-arachnoidal cerebrospinal fluid collections most frequently seen in the middle cranial fossa. The optimal method of treatment for symptomatic arachnoid cysts remains controversial and includes cyst shunting, open craniotomy and endoscopic fenestration. All these techniques, however,...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000098833

    authors: Elhammady MS,Bhatia S,Ragheb J

    更新日期:2007-01-01 00:00:00

  • Multiple intracranial aneurysms with intraventricular hemorrhage in a child with unilateral fibromuscular dysplasia of the renal artery.

    abstract::A rare case involving multiple intracranial aneurysms with intraventricular hemorrhage (IVH) in a child, accompanied by unilateral fibromuscular dysplasia (FMD) of the renal artery, is reported. A 12-year-old girl presented with secondary hypertension and fourth-ventricle IVH. Cerebral angiography showed multiple aneu...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000180304

    authors: Park DH,Kang SH,Lim DJ,Kwon TH,Park JY,Chung YG,Lee HK

    更新日期:2008-01-01 00:00:00

  • Pathophysiology of isolated lateral ventriculomegaly in shunted myelodysplastic children.

    abstract::Eight myelodysplastic children developed isolated lateral ventriculomegaly following shunt insertion for progressive hydrocephalus after closure of a myelomeningocele. In all patients a low-pressure distal slit valve (Uni-shunt) system preceded development of an isolated contralateral ventricle. Six of 8 children requ...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000120547

    authors: Berger MS,Sundsten J,Lemire RJ,Silbergeld D,Newell D,Shurtleff D

    更新日期:1990-01-01 00:00:00

  • Cerebellopontine angle arachnoid cyst harbouring ectopic neuroglia.

    abstract::Arachnoid cysts are collections of cerebrospinal fluid covered by arachnoidal cells and collagen. They may have a congenital or acquired origin. We present the case of a 7-year-old boy with a cerebellopontine angle arachnoid cyst harbouring a portion of neuroglia. Microscopically, the cyst wall consisted of a delicate...

    journal_title:Pediatric neurosurgery

    pub_type: 杂志文章

    doi:10.1159/000086566

    authors: Ariai S,Koerbel A,Bornemann A,Morgala M,Tatagiba M

    更新日期:2005-07-01 00:00:00