Successful endoscopic third ventriculostomy in children depends on age and etiology of hydrocephalus: outcome analysis in 51 pediatric patients

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dc.contributor.authorDuru, Soner
dc.contributor.authorPeiro, Jose L.
dc.contributor.authorOria, Marc
dc.contributor.authorAydın, Emrah
dc.contributor.authorSubaşı, Canan
dc.contributor.authorTuncer, Cengiz
dc.contributor.authorRekate, Harold L.
dc.date.accessioned2020-04-30T23:32:18Z
dc.date.available2020-04-30T23:32:18Z
dc.date.issued2018
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionOria, Marc/0000-0001-9132-9271; Duru, Soner/0000-0002-3449-4673; Aydin, Emrah/0000-0001-7776-9684; Peiro, Jose L./0000-0002-2272-1381en_US
dc.descriptionWOS: 000438618500016en_US
dc.descriptionPubMed: 29696356en_US
dc.description.abstractEndoscopic third ventriculostomy (ETV) has become the method of choice in the treatment of hydrocephalus. Age and etiology could determine success rates (SR) of ETV. The purpose of this study is to assess these factors in pediatric population. Retrospective study on 51 children with obstructive hydrocephalus that underwent ETV was performed. The patients were divided into three groups per their age at the time of the treatment: < 6, 6-24, and > 24 months of age. All ETV procedures were performed by the same neurosurgeon. Overall SR of ETV was 80% (40/51) for all etiologies and ages. In patients < 6 months of age SR was 56.2% (9/16), while 6-24 months of age was 88.9% (16/18) and > 24 months was 94.1% (16/17) (p = 0.012). The highest SR was obtained on aqueductal stenosis. SR of posthemorrhagic, postinfectious, and spina bifida related hydrocephalus was 60% (3/5), 50% (1/2), and 14.3% (1/7), respectively. While SR rate at the first ETV attempt was 85.3%, it was 76.9% in patients with V-P shunt performed previously (p = 0.000). Factors indicating a potential failure of ETV were young age and etiology such as spina bifida, other than isolated aqueductal stenosis. ETV is the method of choice even in patients with former shunting. Fast healing, distensible skulls, and lower pressure gradient in younger children, all can play a role in ETV failure. Based on our experience, ETV could be the first method of choice for hydrocephalus even in children younger than 6 months of age.en_US
dc.identifier.doi10.1007/s00381-018-3811-0en_US
dc.identifier.endpage1528en_US
dc.identifier.issn0256-7040
dc.identifier.issn1433-0350
dc.identifier.issue8en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1521en_US
dc.identifier.urihttps://doi.org/10.1007/s00381-018-3811-0
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4677
dc.identifier.volume34en_US
dc.identifier.wosWOS:000438618500016en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofChilds Nervous Systemen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNeuroendoscopyen_US
dc.subjectAqueductal stenosisen_US
dc.subjectInfanten_US
dc.subjectOutcomeen_US
dc.titleSuccessful endoscopic third ventriculostomy in children depends on age and etiology of hydrocephalus: outcome analysis in 51 pediatric patientsen_US
dc.typeArticleen_US

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