Efficacy of endoscopic third ventriculostomy in the management of hydrocephalus in children under 2 years of age: Experience from a tertiary institution in Nigeria

Ojo, OA; Bankole, OB; Kanu, Okezie Obasi; Okubadejo, Njideka

doi:10.4103/1119-3077.153245

Cited by 16 publications

(11 citation statements)

References 26 publications

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“…We had neither permanent morbidity nor death related to ETV in our series. This was the case for other series reported from Sub-Saharan Africa [1] [3]. From the series of Warf BC [5] [6] [8] in Uganda, operative mortality of ETV ranged between 1.1 and 1.8%.Worldwide reported perioperative mortality is 0% -1.5% [25].…”

Section: Etv Complicationsmentioning

confidence: 55%

“…In Zanzibar and Kenya, Piquer et al [4] achieved a 73% success rate in patients with aqueduct stenosis and 1 year old or above. Ojo et al [3] in Nigeria achieved the same success rate in children under 2 years of age irrespective of etiology. In Uganda in 2005, Warf BC [8] had reported success rates of 81% and 90% in children older than 1 year depending on etiology.…”

Section: Success Rates Of Etvmentioning

confidence: 70%

“…In spite of its numerous advantages in treating obstructive hydrocephalus, ETV is still not widely or routinely used in Sub-Saharan African countries like Cameroon. Besides the works of Benjamin C Warf in Uganda [5]- [7] [10], we found only five reports addressing this procedure in Africa: two in Nigeria [1] [3], one in Malawi by Kamalo P [2], one in Kenya and Tanzania by Piquer et al [4], one in South Africa [11], and one in Egypt [12]. This is really surprising because ETV is much more crucially advantageous in Africa where shunt related problems are very difficult to manage appropriately compared to developed countries.…”

Section: Sub-saharan Africa Contextmentioning

confidence: 99%

“…The overall success rates of ETV reported from medical literature range from 17% to 100% [1] [3] [13]- [18] [21]- [25]. Success rate is related to type and etiology of hydrocephalus, patient's age, primary versus repeated ETV and operative technique.…”

Section: Success Rates Of Etvmentioning

confidence: 99%

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Non-Tumor Obstructive Hydrocephalus Treated with Endoscopic Third Ventriculostomy in Cameroon

Ndoumbe¹,

Simeu²,

Motah³

2015

OJMN

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Objective: In Sub-Saharan Africa, shunt dependence is a real threat for patients. For this reason, any method allowing shunt independence such as endoscopic third ventriculostomy should be promoted. The goal of this study was to show the advantages of neuroendoscopy in treating nontumor obstructive hydrocephalus in Cameroon. Methods: We retrospectively reviewed the cases of non-tumor obstructive hydrocephalus treated with endoscopic third ventriculostomy in our hospital. Results: Twenty patients (15 males, 5 females) underwent endoscopic third ventriculostomy as first choice treatment for non-tumor obstructive hydrocephalus. Their ages ranged from six months to 41 years (mean 11.96 years, median 20.75 years). Fourteen patients (70%) were children (≤18 years old), 6 were adults, 7 were under age of two years and 3 were below one. Computed tomography scan was the radiological tool used in all cases. None did a magnetic resonance imaging scan. Etiology of hydrocephalus was aqueductal stenosis in 18 cases and stenosis of the foramina of Luschka & Magendie in two. Aqueductal stenosis was associated with myelomeningocele in one case and shunt failure in another one. Endoscopic third ventriculostomy was successful in alleviating clinical symptoms with shunt independence in 19 cases (95%), but failed in one case. ETV success was not related to patient age. Cerebrospinal fluid leak occurred in two patients as post-operative complication (10%). Overall, ETV diminished treatment cost by 600 USD. Conclusion: Even in areas with limited medical equipment like in Sub-Saharan Africa where shunt dependence is a real danger, ETV can be routinely used to successfully treat non-tumor obstructive hydrocephalus.

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Section: Etv Complicationsmentioning

confidence: 55%

Section: Success Rates Of Etvmentioning

confidence: 70%

Section: Sub-saharan Africa Contextmentioning

confidence: 99%

Section: Success Rates Of Etvmentioning

confidence: 99%

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Non-Tumor Obstructive Hydrocephalus Treated with Endoscopic Third Ventriculostomy in Cameroon

Ndoumbe¹,

Simeu²,

Motah³

2015

OJMN

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“…[10,11] This series recorded a slight male preponderance in the incidence of hydrocephalus [ Table 1] with a male to female ratio of 1.3:1 which is similar to the reports in other parts of Nigeria and America. [10,[12][13][14] There was no obvious reason for this finding.…”

Section: Discussionmentioning

confidence: 91%

Management and Outcome of Infantile Hydrocephalus in a Tertiary Health Institution in Nigeria

Yusuf

Omokanye

Adeleke

et al. 2017

Journal of Neurosciences in Rural Practice

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Background:Hydrocephalus is a leading cause of disability among children worldwide. The outcome depends on morphology and whether insult is pre- or post-natal. There has been improvement in morbidity in developed countries due to improved surgical care. A paucity of trained personnel impacts negatively on care and outcome of infants with hydrocephalus in many low-income countries resulting poorer outcome. We conducted an audit of patients with hydrocephalus managed in our institution to determine common etiology and outcome.Object:The objective of this retrospective review was to conduct an audit of hydrocephalus care in our institution.Materials and Methods:Information was retrieved from case notes, ward records, imaging results, operation notes, and follow-up clinic charts. Type of hydrocephalus, onset, treatment offered, outcome, complications, and follow-up duration were documented.Results:Management of 58 infants with complete data was analyzed. Most hydrocephalus 40 (69%) were congenital with 14 (35%) occurring in association with myelomeningocele and 8 patients confirmed with aqueductal stenosis. Ventriculoperitoneal shunts insertion 53 (91%) was the most common treatment modality.Conclusions:There is need to improve surgical intervention in the form of endoscopic third ventriculostomy in suitable patients. Subsiding cost of care may be considered for indigent patients.

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Pediatric Hydrocephalus in the Developing World

Muir¹,

Wang²,

Warf³

2019

Pediatric Hydrocephalus

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Efficacy of endoscopic third ventriculostomy in the management of hydrocephalus in children under 2 years of age: Experience from a tertiary institution in Nigeria

Cited by 16 publications

References 26 publications

Non-Tumor Obstructive Hydrocephalus Treated with Endoscopic Third Ventriculostomy in Cameroon

Non-Tumor Obstructive Hydrocephalus Treated with Endoscopic Third Ventriculostomy in Cameroon

Management and Outcome of Infantile Hydrocephalus in a Tertiary Health Institution in Nigeria

Pediatric Hydrocephalus in the Developing World

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