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Endoscopic third ventriculostomy in infants.

Michael J Fritsch1, Sven Kienke, Tobias Ankermann

  • 1Department of Neurosurgery, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Germany. fritschm@nch.uni-kiel.de

Journal of Neurosurgery
|August 27, 2005
PubMed
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Endoscopic third ventriculostomy (ETV) is effective for infant hydrocephalus, with success depending on the cause, not age. Obstructive hydrocephalus shows a 100% success rate in infants.

Area of Science:

  • Neurosurgery
  • Pediatric Neurology
  • Medical Technology

Background:

  • Endoscopic third ventriculostomy (ETV) failure rates in infants under one year are reportedly higher than in older children.
  • The study investigates ETV outcomes in infants to determine factors influencing success.

Purpose of the Study:

  • To evaluate the efficacy of ETV in infants younger than one year for hydrocephalus treatment.
  • To ascertain whether patient age or hydrocephalus etiology dictates ETV success.

Main Methods:

  • Retrospective review of 18 infant ETVs performed between 1996 and 2002.
  • Patients categorized into obstructive hydrocephalus, communicating hydrocephalus, and myelomeningocele-associated hydrocephalus groups.
  • Outcomes assessed based on hydrocephalus cause, with a minimum 18-month follow-up.

Related Experiment Videos

Main Results:

  • No perioperative deaths occurred; transient morbidity was low.
  • ETV success rates varied significantly by hydrocephalus cause: 100% for obstructive, 10% for communicating, and 50% for myelomeningocele-associated.
  • Obstructive hydrocephalus in infants demonstrated a 100% ETV success rate.

Conclusions:

  • ETV is an effective treatment for obstructive hydrocephalus in infants under one year.
  • Hydrocephalus etiology, not patient age, is the primary determinant of ETV success and perioperative risk.
  • ETV is a viable alternative for treating specific types of infant hydrocephalus.