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Child's Nervous System
Published in: Child's Nervous System 2/2007

01-02-2007 | Original Paper

Analysis of the success and failure of endoscopic third ventriculostomy in infants less than 1 year of age

Authors: A. J. R. Balthasar, H. Kort, E. M. J. Cornips, E. A. M. Beuls, J. W. Weber, J. S. H. Vles

Published in: Child's Nervous System | Issue 2/2007

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Abstract

Objectives

In infants less than 1 year of age, the value of endoscopic third ventriculostomy (ETV) is controversial. It is believed to cause more morbidity and to have higher failure rates. We analyzed our data enlarging the reported pool of ETV outcome in infants less than 1 year of age.

Materials and methods

We performed 12 ETVs in ten patients younger than 1 year of age. All patients had predominant supratentorial hydrocephalus. We defined ETV success as a shunt-free follow-up of at least 12 months, however, allowing re-ETV.

Conclusion

ETV should be considered as initial treatment and carries low morbidity in these infants. As the immune system rapidly matures, postponing shunt implantation for several months or even weeks would make an ETV procedure worthwhile. On the other hand, as success probability rapidly increases 4 months after birth, re-ETV should always be considered first.
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Metadata
Title
Analysis of the success and failure of endoscopic third ventriculostomy in infants less than 1 year of age
Authors
A. J. R. Balthasar
H. Kort
E. M. J. Cornips
E. A. M. Beuls
J. W. Weber
J. S. H. Vles
Publication date
01-02-2007
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 2/2007
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-006-0219-z

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