Neuroendoscopic Third Ventriculostomy in Patients Less than 1 Year Old

Buxton, N.; Macarthur, D.; Mallucci, C.; Punt, J.; Vloeberghs, M.
August 1998
Pediatric Neurosurgery;Aug98, Vol. 29 Issue 2, p73
Academic Journal
A series of neuroendoscopic third ventriculostomies in children less than 1 year old is reported. Twenty-seven patients underwent the procedure with 21 (77%) failing within a mean of 1.36 months of the procedure. Nineteen were subsequently shunted. The presence or absence of flow through the ventriculostomy and the size of the lateral ventricles on post-operative imaging were not an indicator of success or failure. Only 4 (15%) had a complication of the procedure. Although the majority fail, approximately 1/3 are spared the added morbidity and mortality of having a shunt. With such a low morbidity and zero mortality the procedure has many benefits over shunting. Consequently, neuroendoscopic third ventriculostomy is used in this institution, where possible, rather than a shunt.


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