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Early Detection of Hydrocephalus in Infant Presenting Aqueductal Stenosis after Endoscopic Third Ventriculostomy: Two
Chia-Chi Chang1, Nan-Chang Chiu1,2, Chun-Chao Huang3
1Division of Pediatric Neurology, Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan.
Insights
Infantile hydrocephalus management requires careful monitoring. Cranial ultrasound is vital for assessing treatment effectiveness and detecting hydrocephalus progression, especially after endoscopic third ventriculostomy (ETV) failure.
Area of Science:
- Pediatric Neurosurgery
- Neonatal Neurology
- Medical Imaging
Background:
- Infantile hydrocephalus presents diverse etiologies and requires tailored treatment approaches.
- Endoscopic third ventriculostomy (ETV) success rates for infantile hydrocephalus vary significantly (40-90%).
- Close follow-up is essential due to potential ETV failure, particularly in younger infants.
Abstract:
The treatment of infantile hydrocephalus required consideration of age and etiology, as well as close follow-up and care. Cranial ultrasound examination is a noninvasive, operable, and cost-effective tool for assessing brain anatomy and establishing a diagnosis in neonates and infants. Because the success rates of endoscopic third ventriculostomy (ETV) for infantile hydrocephalus ranged widely between 40% and 90%, regular cranial ultrasound examinations are necessary after ETV due to the risk of higher failure rate in younger infants. This report presents two newborn cases of hydrocephalus presenting with aqueductal stenosis. Due to early detection of progressive ventricular dilatation, both require additional shunt treatment following failed ETV. These cases highlight the challenges of the diverse etiologies of infantile hydrocephalus and the importance of not ignoring the progression of the disease.
