Endoscopic Third Ventriculostomy in the Pediatric Population: Case Series Report

Brazilian Neurosurgery

article

Hortência Angelina Silva Pinto¹  Ana Luísa de Cássia Magalhães Ferreira¹  Isadora Barbosa de Deus¹  Darlan Rebolças Gama Ferreira¹  Laryssa Vieira Gonçalves¹  Rodrigo Moreira Faleiro² 

[1] Curso de Medicina;Departamento de Neurologia e Neurocirurgia, Hospital João XXIII;Departamento de Neurociências do Hospital Felício Rocho;Faculdade de Ciências Médicas de Minas Gerais

关键词: hydrocephalus;    therapy;    ventriculostomy;    pediatric;    management;   

DOI  :  10.1055/s-0042-1742707

学科分类：社会科学、人文和艺术（综合）

来源: Thieme

【 摘 要 】

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.

【 授权许可】

CC BY|CC BY-NC-ND