Endoscopic third ventriculostomy in infants.

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dc.contributor.authorYadav, Y Ren_US
dc.contributor.authorJaiswal, Sumeeten_US
dc.contributor.authorAdam, Nelsonen_US
dc.contributor.authorBasoor, Abhijeeten_US
dc.contributor.authorJain, Gauraven_US
dc.date.accessioned2006-06-29en_US
dc.date.accessioned2009-06-03T11:27:47Z
dc.date.available2006-06-29en_US
dc.date.available2009-06-03T11:27:47Z
dc.date.issued2006-06-29en_US
dc.description.abstractBACKGROUND: Endoscopic third Ventriculostomy (ETV) is one of the surgical options for obstructive hydrocephalus. There are varying opinions about results of ETV in infants. We are therefore presenting the results of ETV in 54 infants. MATERIALS AND METHODS: A prospective study of 54 infants undergoing ETV in our institution in the last 2 years was carried out. There were 48 cases of congenital hydrocephalus with aqueductal stenosis, 6 of post tubercular meningitis hydrocephalus. Average follow up was 18 months. RESULTS: There was 83.3% (45 cases) clinical success rate in our study. Infection, persistent cerebro-spinal fluid (CSF) leak and bleeding occurred in 4 (8%) cases each while blockage of stoma was observed in 8 (14.8%) patients. Majority of ETV stoma closure (6 out of total 8) occurred following infection (4) or bleeding during surgery (2). One patient (2%) had transient diabetes insipidus. Overall failure rate in our study was 16.7% (8 stoma blocks and 1 procedure abandoned). Low birth weight pre mature infants had higher failure rate (3 out of 5 infants 60%) compared to full term infants with normal birth weight (12.3%). Age did not have any impact on the success rate (P>0.05). Success rates were not significanlty different in patients with aqueductal stenosis (85.4%) and TBM (66.6%) (Fisher's exact test, P=0.3). CONCLUSION: ETV was fairly safe and effective in full term normal birth weight infants while the results in low birth weight pre mature infants were poor.en_US
dc.description.affiliationNeurosurgery Unit, NSCB Medical College, Jabalpur, MP, India. yadavyr@yahoo.co.inen_US
dc.identifier.citationYadav YR, Jaiswal S, Adam N, Basoor A, Jain G. Endoscopic third ventriculostomy in infants. Neurology India. 2006 Jun; 54(2): 161-3en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/120906
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshEndoscopy --adverse effectsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHydrocephalus --surgeryen_US
dc.subject.meshInfanten_US
dc.subject.meshMaleen_US
dc.subject.meshNeurosurgical Procedures --adverse effectsen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshThird Ventricle --surgeryen_US
dc.subject.meshTuberculosis, Meningeal --surgeryen_US
dc.subject.meshVentriculostomy --adverse effectsen_US
dc.titleEndoscopic third ventriculostomy in infants.en_US
dc.typeClinical Trialen_US
dc.typeJournal Articleen_US
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