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Fever after intraventricular neuroendoscopic procedures in children

S L de Kunder1, M P Ter Laak-Poort1, J Nicolai2

  • 1Department of Neurosurgery, Maastricht University Medical Center, Maastricht, The Netherlands.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|April 16, 2016
PubMed

Insights

Fever is common after intraventricular neuroendoscopic procedures in children, typically appearing within two days. Most cases are mild, but persistent fever with other symptoms may indicate serious illness requiring close observation.

Area of Science:

  • Pediatric Neurosurgery
  • Infectious Disease Management

Background:

  • Intraventricular neuroendoscopic procedures are increasingly utilized in pediatric neurosurgery.
  • Postoperative fever is a common concern, necessitating clear understanding of its incidence and significance.

Purpose of the Study:

  • To investigate the incidence of fever following intraventricular neuroendoscopic procedures in pediatric patients.
  • To determine the clinical significance and prognostic value of postoperative fever in this cohort.

Main Methods:

  • Retrospective analysis of pediatric patients undergoing intraventricular neuroendoscopic procedures (2004-2015).
  • Evaluation of postoperative body temperature (≥38°C), clinical signs, and cerebrospinal fluid analysis.
  • Correlation of fever with patient demographics, procedure type, and clinical outcomes.

Main Results:

  • Fever occurred in 70% of 67 procedures across 55 children, predominantly on postoperative days 1 and 2.
  • Clinically ill children with fever (n=7) had serious illnesses, unlike afebrile children with fever (n=36).
  • Fever was not associated with gender, indication, or procedure type, nor did it impact endoscopic third ventriculostomy success rates.

Conclusions:

  • Post-procedural fever in children is frequent and follows a predictable pattern, usually resolving quickly.
  • Fever alone is rarely indicative of serious illness; clinical presentation is key for assessment.
  • Close observation for at least five days is recommended, with heightened vigilance for persistent fever or clinical deterioration.
Abstract

Keywords:
ChildrenComplicationsEndoscopic third ventriculostomyNeuroendoscopyPostoperative fever

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