Endoscopic intraventricular surgery for treatment of hydrocephalus and loculated CSF space in children less than one year of age.

Abstract

Controversy exists regarding whether children under 1 year of age have a higher risk of treatment failure after neuroendoscopic procedures for the treatment of hydrocephalus than older children. We retrospectively reviewed the surgical management and clinical outcome of 15 infants who underwent neuroendoscopic surgery for the treatment of CSF space loculation and hydrocephalus. We performed 8 third ventriculostomies, 3 endoscopic arachnoid cyst fenestrations, 2 aqueductoplasties, 1 septostomy and in 1 patient, three endoscopic fenestrations for isolated ventricular compartments. Two of the third ventriculostomies, 1 of the aqueductoplasties and the 1 septostomy failed, and these patients underwent placement of a ventriculoperitoneal shunt. In all other patients, symptoms and signs related to hydrocephalus or CSF space loculation were relieved effectively after the endoscopic procedure. We conclude that neuroendoscopy presents an effective alternative for the treatment of hydrocephalus and CSF loculation in infants less than 1 year of age.

• Authors: Michael J Fritsch, Maximilian Mehdorn
• Journal: Pediatric neurosurgery (Pediatr Neurosurg) Vol. 36 Issue 4 Pg. 183-8 (Apr 2002) ISSN: 1016-2291 [Print] Switzerland
• PMID: 12006753 (Publication Type: Journal Article)
• Copyright: Copyright 2002 S. Karger AG, Basel

Topics

• Cerebrospinal Fluid Shunts (methods)
• Endoscopy (methods)
• Female
• Humans
• Hydrocephalus (surgery)
• Infant
• Infant, Newborn
• Magnetic Resonance Imaging
• Male
• Retrospective Studies
• Third Ventricle (pathology, surgery)
• Ventriculostomy (methods)