Clinical and Radiological Outcome after Endoscopic Third Ventriculostomy with or without Choroid Plexus Cauterization in Management of Pediatric Hydrocephalus

Taha, Mahmoud Mostafa; El-Sharkawy, Ahmad Mohamad Easa; Al-Shara, Hend Shaban Mohamed; Al-Bakry, Amr Mohamed Mohamed

doi:10.21608/ejhm.2022.277505

Clinical and Radiological Outcome after Endoscopic Third Ventriculostomy with or without Choroid Plexus Cauterization in Management of Pediatric Hydrocephalus

Document Type : Original Article

Authors

10.21608/ejhm.2022.277505

Abstract

Introduction: Different surgical management of infants suffering from hydrocephalus was reported. There is much debate regarding the management of pediatric hydrocephalus and whether endoscopic third ventriculostomy (ETV) combined with choroid plexus cauterization (CPC) is superior to ETV alone. Aim of the study: To evaluate the outcome of the Endoscopic Third Ventriculostomy (ETV) and ETV-CPC procedures as surgical options for selected forms of hydrocephalus.
Patients and methods: Aprospective cohort study was conducted on 18 patients aged not more than 6 years old, who have the etiology of non-communicating hydrocephalus as confirmed by clinical picture and neuroradiological imaging whether previously shunted or not. Patients older than 6 years old, and who refuse the study were excluded. We measured the ETV success score in all cases preoperatively which depends on age, etiology, and previous shunt insertion
Results: In ETV+CPC incidence of improvement was 100% compared to 28.6% in the ETV technique, the difference statistically significant.
Conclusion: The combination of ETV and CPC may improve outcomes for infants with hydrocephalus. With a low but significant risk profile, ETV/CPC remains a viable, effective procedure for reducing the need for VPS in Egypt.

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