Endoscopic third ventriculostomy in the management of Chiari I malformation and syringomyelia associated with hydrocephalus

Mohanty, Aaron; Suman, Ravi; Shankar, Shyam; S, Satish; Praharaj, S. S.

doi:10.1016/j.clineuro.2004.11.017

Cited by 49 publications

(27 citation statements)

References 19 publications

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“…It is believed that the blockade of the CSF in the foramen magnum region (at the foramina of Luschka and Magendie or at the peri-cervicomedular level due to a herniated amygdala [72]) is the cause as described by Milhorat [73] in one of the largest series in the literature. It is also agreed that hydrocephalus associated with myelomeningocele is due to an obstruction of the exit area of the fourth ventricle resulting from an associated Chiari malformation [74].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic third ventriculostomy in the management of hydrocephalus: Outcome analysis of 168 consecutive procedures

Salvador

Oliveira

Pereira

et al. 2014

Clinical Neurology and Neurosurgery

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a b s t r a c tBackground: Endoscopic third ventriculostomy (ETV) is the treatment of choice for obstructive hydrocephalus, but the outcome is still controversial in terms of age and aetiology. Methods: Between 1998 and 2011, 168 consecutive procedures were performed in 164 patients, primarily children (56% < 18 years of age and 35% < 2 years of age). The causes of obstructive hydrocephalus included tumoural pathology, Chiari malformation, congenital obstruction of the aqueduct, post-infectious and post-haemorrhagic membranes, and ventriculo-peritoneal shunt (VPS) malfunctions. Successful ETV was defined by the resolution of symptoms and the avoidance of a shunt. Results: ETV was successful in 75.6% of patients, but 19% of the patients required VPS in the first month after ETV, and 5.4% required a VPS more than one month after ETV. Four patients were ultimately submitted for second ETVs. In this series, no major permanent morbidity or mortality was observed. Conclusions: ETV is a safe procedure and an effective treatment for obstructive hydrocephalus even following the dysfunction of previous VPSs and in children younger than two years.

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Section: Discussionmentioning

confidence: 99%

Endoscopic third ventriculostomy in the management of hydrocephalus: Outcome analysis of 168 consecutive procedures

Salvador

Oliveira

Pereira

et al. 2014

Clinical Neurology and Neurosurgery

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show abstract

“…The efficacy of endoscopic third ventriculoscopy has been demonstrated for congenital aqueductal stenosis, Dandy-Walker (41), and Chiari malformations (11,25,43) with fourth ventricle outlet obstruction (42) and recently has been assessed in the treatment of hydrocephalus in infants with encephalocele (44) and complex faciocraniosynostosis (12). In patients with hydrocephalus associated with Chiari malformation type I and syringomyelia, a reduction in the length and caliber of the syrinx cavity has been noticed following ETV, leading to resolution of the preceding symptoms in 83% of the series (25, 43).…”

Section: Etv In Congenital Abnormalitiesmentioning

confidence: 99%

Indication for Endoscopic Third Ventriculostomy

Mugamba¹,

Stagno²

2013

World Neurosurgery

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“…In the literature, the terminological use of "communicating" and "non-communicating" syringomyelia is associated with the classic communicating theories [4,7,11,17,21]. Apart from this, there seems to be no consensus in the literature regarding the definition of syringomyelia versus hydromyelia-the hybrid term "syringohydromyelia" is even used (Table 3).…”

Section: Terminologymentioning

confidence: 95%