Evaluation of functional outcomes in congenital hydrocephalus

Venkataramana, N. K.; Mukundan, C. R.

doi:10.4103/1817-1745.84399

Cited by 19 publications

(3 citation statements)

References 13 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients underwent endoscopic third ventriculostomy where the CSF flow was assessed postoperative. Table (1) summarized the baseline characteristics of the studied sample. The mean age of the participants was 7.3 ± 3.26 months.…”

Section: Resultsmentioning

confidence: 99%

“…It is considered the treatment of choice in obstructive hydrocephalus. It is also now advocated in some communicating hydrocephalus, such as normal pressure hydrocephalus by some authors (1) . There should be adequate space between the basilar artery and the clivus under the floor of the third ventricle to allow for a safe ventriculostomy (2) .…”

Section: Discussionmentioning

confidence: 99%

“…Congenital hydrocephalus is a condition in which there is dilatation of the ventricular system due to Cerebrospinal Fluid (CSF) accumulation associated with increased head size at birth (1) .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of Endoscopic Third Ventriculostomy in Cases of Congenital Hydrocephalus Based on MRI CSF Flowmetry and Transcranial Doppler in Infants

2024

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

Background: Endoscopic Third Ventriculostomy (ETV) is considered an alternative to ventriculo-peritoneal (VP) shunt insertion to avoid the shunt complications. To improve the outcome of the infants with congenital hydrocephalus (HCP) through using adjuvant tools with endoscopic third ventriculostomy, which are transcranial Doppler and CSF flowmetry to assess the flow through the ventriculostomy. Objectives: Primary objective was to assess the clinical and radiological outcomes of endoscopic third ventriculostomy in cases of hydrocephalus below two years. Secondary objective was to assess the early and late complications associated with ETV during follow up study. Subjects and methods: This uncontrolled clinical trial included children with congenital HCP attended the Outpatient Neurosurgery Clinics, Suez Canal University Hospitals. Twenty patients, divided into 2 groups: Group I included congenital aqueductal stenosis patients and group II that included patients with Chiari II malformations, using Transcranial Duplex, CT brain and MRI CSF Flowmetry. Results: Patients of hydrocephalus with aqueductal stenosis, after ETV, had statistically higher stroke volume than those suffered from Chiari II pathology (p=0.008) and elicited a statistically reduction in peak systolic velocity (p=0.001), pulsatility index (p=0.001) and mean maximum velocity (p= 0.005). Patients with congenital hydrocephalus of Chiari II pathology had higher rate of complications than that of aqueductal stenosis (p=0.015). Success rate was higher among cases with aqueductal stenosis than in Chiari II pathology (p=0.007). Conclusion:ETV is a safe and effective technique for managing infants with congenital hydrocephalus due to aqueductal stenosis. MRI CSF flowmetry is a reliable method for evaluating the patency of a third ventriculostomy.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes of Endoscopic Third Ventriculostomy in Cases of Congenital Hydrocephalus Based on MRI CSF Flowmetry and Transcranial Doppler in Infants

2024

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

show abstract

Shortfalls in pediatric hydrocephalus clinical outcome analysis

Walid

Robinson²

2012

Childs Nerv Syst

View full text Add to dashboard Cite

Over the past 15 years, disappointingly the number of printed child hydrocephalus papers appeared to have only plateaued. Strikingly, only a very small number of these papers were directed toward randomized control studies, the sine qua non of high-grade clinical evidence. Moreover, very few papers make reference to cost analysis or economics in the treatment of hydrocephalus - an issue coming increasingly before the nation at this point.

show abstract

Short-term prognostic factors in myelomeningocele patients

et al. 2016

View full text Add to dashboard Cite

Extent of the spinal cord defect and the time of surgical correction influenced the short-term outcomes of patients with myelomeningocele. Extensive lesions were associated with higher rates of CNS infections, surgical wound complications, and prolonged hospital stay. Interventions performed within 48 h after birth significantly reduced occurrence of CNS infections. Absence of antenatal hydrocephalus was associated with fewer complications in the first days of life.

show abstract

Evaluation of functional outcomes in congenital hydrocephalus

Cited by 19 publications

References 13 publications

Outcomes of Endoscopic Third Ventriculostomy in Cases of Congenital Hydrocephalus Based on MRI CSF Flowmetry and Transcranial Doppler in Infants

Outcomes of Endoscopic Third Ventriculostomy in Cases of Congenital Hydrocephalus Based on MRI CSF Flowmetry and Transcranial Doppler in Infants

Shortfalls in pediatric hydrocephalus clinical outcome analysis

Short-term prognostic factors in myelomeningocele patients

Contact Info

Product

Resources

About