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- Title
Endoscopic third ventriculostomy in infants.
- Authors
Yadav, Y. R.; Jaiswal, Sumeet; Adam, Nelson; Basoor, Abhijeet; Jain, Gaurav
- Abstract
BACKGROUND: Endoscopic third Ventriculostomy (ETV) is one of the surgical options for obstructive hydrocephalus. Opinions about results of ETV in infants. We are therefore presenting the results of ETV in 87 infants. MATERIALS AND METHODS: A prospective study of 87 infants undergoing ETV in our institution in the last 3 years was carried out. There were 73 cases of congenital hydrocephalus with aqueductal stenosis, 10 of post tubercular meningitis hydrocephalus and 4 obstructive hydrocephalus due to posterior fossa tumor. Average follow up was 22 months. RESULTS: There was 85.0% (74 cases) clinical success rate in our study. Infection (5 patients 5.75%), persistent cerebrospinal fluid (CSF) leak ( 7 cases 8.0%) and minor bleeding occurred in 4 (4.6%) cases while blockage of stoma was observed in 12 (13.8%) patients. Procedure was abandoned in one patients due to poor visualization of floor off third ventricle. Majority of ETV stoma closure (7 out of total 12) occurred following infection (5) or bleeding during surgery (2). One patient (2%) had transient diabetes insipidus. Overall failure rate in our study was 15% (12 stoma blocks and I procedure abandoned). Low birth weight pre mature infants had higher failure rate (4 out of 7 infants 57%) compared to full term infants with normal birth weight (15.3%). Age and the type of pathology (Tubercular meningitis verses aqueductal stenosis did not have any impact on the success rate (P >0.05). CONCLUSION: ETV was fairly safe and effective in full term normal birth weight infants while the results in low birth weight pre mature infants were poor.
- Subjects
CEREBRAL ventricle surgery; HYDROCEPHALUS in infants; PEDIATRIC surgery; BRAIN diseases; INFANT diseases
- Publication
Journal of Pediatric Neurosciences, 2007, Vol 2, Issue 2, p99
- ISSN
1817-1745
- Publication type
Article