Abstract | OBJECT: METHODS: A retrospective review of the CURE Children's Hospital of Uganda clinical database between 2004 and 2010 identified 45 patients with DWC confirmed by CT scanning (25 with DWM, 17 with DWV, and 3 with MCM) who were treated for hydrocephalus by ETV/ CPC. Three were excluded because of other potential causes of hydrocephalus (2 postinfectious and 1 posthemorrhagic). RESULTS: The median age at treatment was 5 months (88% of patients were younger than 12 months). There was a 2.4:1 male predominance among patients with DWV. An ETV/ CPC (ETV only in one) was successful with no further operations in 74% (mean and median follow-up 24.2 and 20 months, respectively [range 6-65 months]). The rate of success was 74% for DWM, 73% for DWV, and 100% for MCM; 95% had an open aqueduct, and none required posterior fossa shunting. CONCLUSIONS: Endoscopic treatment of DWC-associated hydrocephalus should be strongly considered as the primary management in place of the historical standard of creating shunt dependence.
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Authors | Benjamin C Warf, Michael Dewan, John Mugamba |
Journal | Journal of neurosurgery. Pediatrics
(J Neurosurg Pediatr)
Vol. 8
Issue 4
Pg. 377-83
(Oct 2011)
ISSN: 1933-0715 [Electronic] United States |
PMID | 21961544
(Publication Type: Journal Article)
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Topics |
- Cautery
- Choroid Plexus
(diagnostic imaging, surgery)
- Dandy-Walker Syndrome
(complications, diagnostic imaging, surgery)
- Female
- Fourth Ventricle
(diagnostic imaging, surgery)
- Humans
- Hydrocephalus
(diagnostic imaging, etiology, surgery)
- Infant
- Male
- Neuroendoscopy
- Patient Selection
- Research Design
- Retrospective Studies
- Third Ventricle
(diagnostic imaging, surgery)
- Tomography, X-Ray Computed
- Treatment Outcome
- Uganda
- Ventriculostomy
(methods)
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