Objective Neuroendoscopic surgery in children has particular features and is associated with different success rates (SR). The aim of this study was to identify putative factors that could influence the outcome in pediatric patients. Methods Clinical data of 177 patients under 18...

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Main Authors: Luciano Lopes Furlanetti, Marcelo Volpon Santos, Ricardo Santos de Oliveira
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2013-03-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000300165&lng=en&tlng=en
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author Luciano Lopes Furlanetti
Marcelo Volpon Santos
Ricardo Santos de Oliveira
author_facet Luciano Lopes Furlanetti
Marcelo Volpon Santos
Ricardo Santos de Oliveira
author_sort Luciano Lopes Furlanetti
collection DOAJ
description Objective Neuroendoscopic surgery in children has particular features and is associated with different success rates (SR). The aim of this study was to identify putative factors that could influence the outcome in pediatric patients. Methods Clinical data of 177 patients under 18 years of age submitted to 200 consecutive neuroendoscopic procedures from January 2000 to January 2010 were reviewed. Results The overall success rate was 77%. Out of the patients with successful outcomes, 46% were under six months, 68% were between six months and one year of age, and 85% older than one year. Neuroendoscopic techniques provide very good results for a wide number of indications in children. Tumor-related cerebrospinal fluid (CSF) circulation problems and aqueductal stenosis seem to be particularly well suited to neuroendoscopic treatment regardless of the patient's age. Conclusion Patients' age and etiology of hydrocephalus were associated with a different outcome. In all cases, surgical experience is extremely important to reduce complications.
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spelling doaj.art-1c97c90d047e42618be63fd16d22bc512022-12-21T22:21:38ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272013-03-0171316517010.1590/S0004-282X2013000300007S0004-282X2013000300165Luciano Lopes FurlanettiMarcelo Volpon SantosRicardo Santos de OliveiraObjective Neuroendoscopic surgery in children has particular features and is associated with different success rates (SR). The aim of this study was to identify putative factors that could influence the outcome in pediatric patients. Methods Clinical data of 177 patients under 18 years of age submitted to 200 consecutive neuroendoscopic procedures from January 2000 to January 2010 were reviewed. Results The overall success rate was 77%. Out of the patients with successful outcomes, 46% were under six months, 68% were between six months and one year of age, and 85% older than one year. Neuroendoscopic techniques provide very good results for a wide number of indications in children. Tumor-related cerebrospinal fluid (CSF) circulation problems and aqueductal stenosis seem to be particularly well suited to neuroendoscopic treatment regardless of the patient's age. Conclusion Patients' age and etiology of hydrocephalus were associated with a different outcome. In all cases, surgical experience is extremely important to reduce complications.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000300165&lng=en&tlng=enterceiro ventriculostomia endoscópicahidrocefalianeuroendoscopianeurocirurgia pediátrica
spellingShingle Luciano Lopes Furlanetti
Marcelo Volpon Santos
Ricardo Santos de Oliveira
Arquivos de Neuro-Psiquiatria
terceiro ventriculostomia endoscópica
hidrocefalia
neuroendoscopia
neurocirurgia pediátrica
topic terceiro ventriculostomia endoscópica
hidrocefalia
neuroendoscopia
neurocirurgia pediátrica
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013000300165&lng=en&tlng=en