Endoscopic Third Ventriculostomy in the Pediatric Population: Case Series Report*
Objective Hydrocephalus is characterized by multi- or uniloculated ventricular dilatation, and there are differences between the etiology and therapeutic response of each type. Endoscopic third ventriculostomy (ETV) is indicated for the treatment of obstructive hydrocephalus, with a reported efficac...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-09-01
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| Series: | Brazilian Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742707 |
| _version_ | 1828228736845086720 |
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| author | Hortência Angelina Silva Pinto Ana Luísa de Cássia Magalhães Ferreira Isadora Barbosa de Deus Darlan Rebolças Gama Ferreira Laryssa Vieira Gonçalves Rodrigo Moreira Faleiro |
| author_facet | Hortência Angelina Silva Pinto Ana Luísa de Cássia Magalhães Ferreira Isadora Barbosa de Deus Darlan Rebolças Gama Ferreira Laryssa Vieira Gonçalves Rodrigo Moreira Faleiro |
| author_sort | Hortência Angelina Silva Pinto |
| collection | DOAJ |
| description | Objective Hydrocephalus is characterized by multi- or uniloculated ventricular dilatation, and there are differences between the etiology and therapeutic response of each type. Endoscopic third ventriculostomy (ETV) is indicated for the treatment of obstructive hydrocephalus, with a reported efficacy between 50% and 76%. Reduced efficacy of the procedure has been demonstrated in communicating hydrocephalus due to multifactorial pathogenesis, and, in patients with myelomeningocele, its efficacy ranges from 15% to 20% at birth. The present study aims to compare the efficacy of ETV in the treatment of congenital obstructive hydrocephalus (COH) and acquired obstructive hydrocephalus (AOH) in the pediatric population.
Methods A retrospective study of 169 endoscopic surgeries performed by the senior author in two institutions, one public (Hospital João XXIII, Belo Horizonte, Minas Gerais) and another private (Hospital Felício Rocho, Belo Horizonte, Minas Gerais), in the period from 2003 a 2020. From the selection of 169 patients, only 77 cases fit the age profile ≤12 years of the present study. Of these, 46 were male, and the age range ranged from 10 days to 12 years. The study included multiple etiologies, which were divided into 2 groups, 34 related to COH, and 43 to AOH.
Results Regarding the cases of COH, 22 were submitted to ETV as the main treatment, with 14 (63.63%) effective and 8 (36.36%) ineffective procedures. As for the cases of AOH, 13 patients underwent ETV, and 8 (61.53%) procedures were effective, and 5 (38.46%), ineffective.
Conclusions Through the calculation of the p-value of 0.49, we concluded that it cannot stated that the efficacy of ETV is greater in COH than in AOH. |
| first_indexed | 2024-04-12T18:24:05Z |
| format | Article |
| id | doaj.art-fd0815f5fc094322a49054460a30db57 |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-04-12T18:24:05Z |
| publishDate | 2022-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-fd0815f5fc094322a49054460a30db572022-12-22T03:21:19ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222022-09-014103e258e26110.1055/s-0042-1742707Endoscopic Third Ventriculostomy in the Pediatric Population: Case Series Report*Hortência Angelina Silva Pinto0Ana Luísa de Cássia Magalhães Ferreira1Isadora Barbosa de Deus2Darlan Rebolças Gama Ferreira3Laryssa Vieira Gonçalves4Rodrigo Moreira Faleiro5Curso de Medicina, Faculdade de Minas (FAMINAS), Belo Horizonte, Minas Gerais, BrazilCurso de Medicina, Faculdade de Minas (FAMINAS), Belo Horizonte, Minas Gerais, BrazilCurso de Medicina, Faculdade de Minas (FAMINAS), Belo Horizonte, Minas Gerais, BrazilCurso de Medicina, Faculdade de Minas (FAMINAS), Belo Horizonte, Minas Gerais, BrazilCurso de Medicina, Faculdade de Minas (FAMINAS), Belo Horizonte, Minas Gerais, BrazilDepartamento de Neurologia e Neurocirurgia, Hospital João XXIII, Belo Horizonte, Minas Gerais, BrazilObjective Hydrocephalus is characterized by multi- or uniloculated ventricular dilatation, and there are differences between the etiology and therapeutic response of each type. Endoscopic third ventriculostomy (ETV) is indicated for the treatment of obstructive hydrocephalus, with a reported efficacy between 50% and 76%. Reduced efficacy of the procedure has been demonstrated in communicating hydrocephalus due to multifactorial pathogenesis, and, in patients with myelomeningocele, its efficacy ranges from 15% to 20% at birth. The present study aims to compare the efficacy of ETV in the treatment of congenital obstructive hydrocephalus (COH) and acquired obstructive hydrocephalus (AOH) in the pediatric population. Methods A retrospective study of 169 endoscopic surgeries performed by the senior author in two institutions, one public (Hospital João XXIII, Belo Horizonte, Minas Gerais) and another private (Hospital Felício Rocho, Belo Horizonte, Minas Gerais), in the period from 2003 a 2020. From the selection of 169 patients, only 77 cases fit the age profile ≤12 years of the present study. Of these, 46 were male, and the age range ranged from 10 days to 12 years. The study included multiple etiologies, which were divided into 2 groups, 34 related to COH, and 43 to AOH. Results Regarding the cases of COH, 22 were submitted to ETV as the main treatment, with 14 (63.63%) effective and 8 (36.36%) ineffective procedures. As for the cases of AOH, 13 patients underwent ETV, and 8 (61.53%) procedures were effective, and 5 (38.46%), ineffective. Conclusions Through the calculation of the p-value of 0.49, we concluded that it cannot stated that the efficacy of ETV is greater in COH than in AOH.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742707hydrocephalustherapyventriculostomypediatricmanagement |
| spellingShingle | Hortência Angelina Silva Pinto Ana Luísa de Cássia Magalhães Ferreira Isadora Barbosa de Deus Darlan Rebolças Gama Ferreira Laryssa Vieira Gonçalves Rodrigo Moreira Faleiro Endoscopic Third Ventriculostomy in the Pediatric Population: Case Series Report* Brazilian Neurosurgery hydrocephalus therapy ventriculostomy pediatric management |
| title | Endoscopic Third Ventriculostomy in the Pediatric Population: Case Series Report* |
| title_full | Endoscopic Third Ventriculostomy in the Pediatric Population: Case Series Report* |
| title_fullStr | Endoscopic Third Ventriculostomy in the Pediatric Population: Case Series Report* |
| title_full_unstemmed | Endoscopic Third Ventriculostomy in the Pediatric Population: Case Series Report* |
| title_short | Endoscopic Third Ventriculostomy in the Pediatric Population: Case Series Report* |
| title_sort | endoscopic third ventriculostomy in the pediatric population case series report |
| topic | hydrocephalus therapy ventriculostomy pediatric management |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1742707 |
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