Neuroendoscopic third ventriculostomy in patients less than 1 year old.

Abstract:

:A series of neuroendoscopic third ventriculostomies in children less than 1 year old is reported. Twenty-seven patients underwent the procedure with 21 (77%) failing within a mean of 1.36 months of the procedure. Nineteen were subsequently shunted. The presence or absence of flow through the ventriculostomy and the size of the lateral ventricles on post-operative imaging were not an indicator of success or failure. Only 4 (15%) had a complication of the procedure. Although the majority fail, approximately 1/3 are spared the added morbidity and mortality of having a shunt. With such a low morbidity and zero mortality the procedure has many benefits over shunting. Consequently, neuroendoscopic third ventriculostomy is used in this institution, where possible, rather than a shunt.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Buxton N,Macarthur D,Mallucci C,Punt J,Vloeberghs M

doi

10.1159/000028693

subject

Has Abstract

pub_date

1998-08-01 00:00:00

pages

73-6

issue

2

eissn

1016-2291

issn

1423-0305

pii

pne29073

journal_volume

29

pub_type

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