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01-10-2005 | Original Article

Success of endoscopic third ventriculostomy in children less than 2 years of age

Authors: Volkan Etus, Savas Ceylan

Published in: Neurosurgical Review | Issue 4/2005

Abstract

Current literature reveals different opinions about the effectiveness of endoscopic third ventriculostomy in the treatment of hydrocephalus in children less than 2 years of age. Performing a retrospective evaluation of our own experience in this age group, we aimed to contribute to the growing data on the controversial issues related to this procedure in children. In a series of 97 endoscopic third ventriculostomy procedures, 25 were performed in children less than 2 years of age as an initial treatment for hydrocephalus. A retrospective analysis of our data revealed that the overall success rate of endoscopic third ventriculostomy in this age group was 56%. However, analysis of the results in subgroups with different etiologies of hydrocephalus showed that the success rate of the procedure was 83% in patients with defined anatomic obstruction, 66.6% in post-hemorrhagic hydrocephalus, 50% in infection related hydrocephalus and 41.6% in hydrocephalus accompanied by myelomeningocele. This article considers our data and the features of endoscopic third ventriculostomy procedure in this age group, with a detailed review of the literature. In our experience, the success of endoscopic third ventriculostomy is etiology related rather than age-dependent. We suggest that there are no grounds for denying children younger than 2 years this chance for a shunt-free life.

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Title: Success of endoscopic third ventriculostomy in children less than 2 years of age
Authors: Volkan Etus
Savas Ceylan
Publication date: 01-10-2005
Publisher: Springer-Verlag
Published in: Neurosurgical Review / Issue 4/2005
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-005-0407-4

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Success of endoscopic third ventriculostomy in children less than 2 years of age

Abstract

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Abstract

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