Pediatric Hydrocephalus: Current State of Diagnosis and Treatment

Wright, Zachary G.; Larrew, Thomas; Eskandari, Ramin

doi:10.1542/pir.2015-0134

Cited by 63 publications

(63 citation statements)

References 37 publications

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“…Ultrasound can also be used as a routine modality to monitor infants with recently placed ventriculoperitoneal (VP) shunts or when there is concern for shunt malfunction (Fig. 12) [2,[17][18][19].…”

Section: Discussionmentioning

confidence: 99%

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Identifying infant hydrocephalus in the emergency department with transfontanellar POCUS

Subramaniam

Chen

Khwaja

et al. 2019

The American Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

“…Broadly, infant pediatric hydrocephalus is categorized as congenital or acquired. Congenital causes account for the majority of infant hydrocephalus in the US, presenting at birth or developing soon after, while acquired causes are more common globally [2] (Table 1).…”

Section: Introductionmentioning

confidence: 99%

Identifying infant hydrocephalus in the emergency department with transfontanellar POCUS

Subramaniam

Chen

Khwaja

et al. 2019

The American Journal of Emergency Medicine

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“…In this procedure an endoscope is introduced into the ventricular system and the floor of the third ventricle is perforated to make a communication with prepontine cistern. 6,14,15 In our study, the ETV was performed for different pathologies causing hydrocephalus. Patient having aqueductal stenosis ware 32% (26 patients) posterior fossa tumor patient were 37% (30 patients) and few other conditions mention in table 2.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Endoscopic Third Ventriculostomy: An Experience of 80 Treated Patients

et al. 2019

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Objective: To examine the outcome of Endoscopic Third Ventriculostomy in 80 consecutive patients operated in Irfan General Hospital and Prime Teaching Hospital Peshawar.Materials and Methods: Prospective observational study was conducted in the neurosurgery department of Prime Teaching Hospital and Irfan General Hospital Peshawar. 80 patients (48 male and 32 female) were followed for 3 months. The inclusion criteria all patients with Third ventricular hydrocephalus were included in this study and the exclusion criteria unwilling patients and those who opted for VP shunting rather than ETV. Data was analyzed using SPSS version 22.Results: ETV was performed in 80 patients. With highest success rate inAqueductal stenosis and posterior fossa tumors 88% and 87% respectively. ETV had a lowest success score of 50% in patients with Hydrocephalus TBM. Common post-operative complications were seizures and CSF leakage.Conclusion: ETV is less invasive and effective treatment for non-communicating hydrocephalus.ETV is most effective in treating aqueductal stenosis and posterior fossa tumors. The overall success rate of ETV is 74%. Based on these findings, it is recommended that ETV should be attempted as first line treatment for patients with triventricular hydrocephalus due to various pathologies.

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“…An important sign of raised ICP in neonates is a propensity to apnoeic episodes. 18 Sites of ventricular shunt insertion are similar to adults; however, VP shunts are avoided if further surgery is likely to be required for any concurrent abdominal pathology. Ventriculo-atrial shunts are avoided where possible because of the risk of shunt nephritis, caused by immune complex deposition in the kidneys.…”

Section: Considerations In Paediatricsmentioning

confidence: 99%

Perioperative management of hydrocephalus

2018

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Distinguish between the clinical features of communicating and non-communicating hydrocephalus. Define the indications for external ventricular drains (EVD), ventriculo-peritoneal shunts and lumbar drains. Explain the practical aspects of EVD management in intensive care. Hydrocephalus, derived from the Greek words hydro (water) and kephalos (head), describes a congenital or acquired condition in which there is an excessive accumulation of cerebrospinal fluid (CSF) within the head. There is a wide range of causes, most of which involve obstructed CSF circulation or impaired absorption. 1

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Pediatric Hydrocephalus: Current State of Diagnosis and Treatment

Cited by 63 publications

References 37 publications

Identifying infant hydrocephalus in the emergency department with transfontanellar POCUS

Identifying infant hydrocephalus in the emergency department with transfontanellar POCUS

Outcome of Endoscopic Third Ventriculostomy: An Experience of 80 Treated Patients

Perioperative management of hydrocephalus

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